NICOLE AMBROGIO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

AMBROGIO

Business Name

NICOLE AMBROGIO

Original Issue Date

12/30/2025

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

BARTLETT

State

Zip

60103

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025