ASHLEY GALE BLACK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131207

License Status

ACTIVE

Business

Title

First Name

ASHLEY

Middle

GALE

Last Name

BLACK

Business Name

ASHLEY GALE BLACK DO

Original Issue Date

08/21/2012

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

12/19/2025