ASHLEY TUCKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007250

License Status

NOT RENEWED

Business

First Name

ASHLEY

Last Name

TUCKER

Business Name

ASHLEY TUCKER

Original Issue Date

09/05/2019

Effective Date

02/22/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025