MADISON PAIGE RYBAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

PAIGE

Last Name

RYBAK

Business Name

MADISON PAIGE RYBAK

Original Issue Date

10/13/2022

Effective Date

10/13/2022

Expiration Date

03/01/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025