MELISSA E FRALEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

FRALEY

Business Name

MELISSA E FRALEY

Original Issue Date

02/20/2004

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025