DANIEL JAMES NICHOLS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

DANIEL

Middle

JAMES

Last Name

NICHOLS

Business Name

DANIEL JAMES NICHOLS

Original Issue Date

01/20/2015

Effective Date

02/06/2024

Expiration Date

03/01/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025