NICOLE CACCIATO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

CACCIATO

Business Name

NICOLE CACCIATO

Original Issue Date

04/14/2025

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026