ASHLEY MARIE MENICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

MARIE

Last Name

MENICH

Business Name

ASHLEY MARIE MENICH

Original Issue Date

12/07/2018

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026