NICOLE LEAHY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

LEAHY

Business Name

NICOLE LEAHY

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

03/01/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025