ASHLEY THAI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

ASHLEY

Last Name

THAI

Business Name

ASHLEY THAI

Original Issue Date

08/05/2022

Effective Date

01/03/2024

Expiration Date

03/01/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025