JALESSIA LYRAY GREEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

JALESSIA

Middle

LYRAY

Last Name

GREEN

Business Name

JALESSIA LYRAY GREEN

Original Issue Date

07/10/2025

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60123

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026