NICOLE KRISTEN FISCH 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

NICOLE

Middle

KRISTEN

Last Name

FISCH

Business Name

NICOLE KRISTEN FISCH

Original Issue Date

07/11/2018

Effective Date

12/23/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2025