ASHLEY ANNE STAKEMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

ANNE

Last Name

STAKEMAN

Business Name

ASHLEY ANNE STAKEMAN

Original Issue Date

01/05/2021

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

PARIS

State

Zip

61944

County

EDGAR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026