NISHA BELLE GRANAT 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

NISHA

Middle

BELLE

Last Name

GRANAT

Business Name

NISHA BELLE GRANAT

Original Issue Date

02/04/2024

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026