ASHLEY GREENWAY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

First Name

ASHLEY

Last Name

GREENWAY

Business Name

ASHLEY GREENWAY

Original Issue Date

10/31/2011

Effective Date

02/16/2018

Expiration Date

03/01/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/18/2019