Nicole M Jack

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****00

Status

Active

First issued

July 17, 2018

Expires

March 1, 2028

License holder

Nicole M Jack

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Delegated controlled substance schedules

II III IV V

Current term began

03/01/2026

Other Illinois licenses under this name

• IL
  Nicole M Jack

  License 085006579

  Licensed Physician Assistant
  Active

  Chatham, IL

  Expires Mar 1, 2028

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