ASHLEY NICOLE HARTUNG HAGERTY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

NICOLE HARTUNG

Last Name

HAGERTY

Business Name

ASHLEY NICOLE HARTUNG HAGERTY

Original Issue Date

01/24/2022

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

METROPOLIS

State

Zip

62960

County

MASSAC

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026