AUSTIN BLAKE COMSTOCK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

BLAKE

Last Name

COMSTOCK

Business Name

AUSTIN BLAKE COMSTOCK

Original Issue Date

10/02/2025

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026