RYAN EDWARD SHAW DAVISSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

RYAN

Middle

EDWARD SHAW

Last Name

DAVISSON

Business Name

RYAN EDWARD SHAW DAVISSON

Original Issue Date

12/28/2016

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026