ASHLEY BLACKSHEAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

ASHLEY

Last Name

BLACKSHEAR

Business Name

ASHLEY BLACKSHEAR

Original Issue Date

08/17/2023

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026