NICOLE MARIE BAUKNECHT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

BAUKNECHT

Business Name

NICOLE MARIE BAUKNECHT

Original Issue Date

05/05/2014

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

VERNON HILLS

State

Zip

60061

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026