JENNIFER LYNE ASH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

LYNE

Last Name

ASH

Business Name

JENNIFER LYNE ASH

Original Issue Date

06/03/2008

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023