ASHLEY NICOLE WADE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

WADE

Business Name

ASHLEY NICOLE WADE

Original Issue Date

01/11/2024

Effective Date

01/11/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025