NINA RENAE KODROS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

NINA

Middle

RENAE

Last Name

KODROS

Business Name

NINA RENAE KODROS

Original Issue Date

02/06/2020

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026