ABBY MARIE MEDFORD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

ACTIVE

Business

First Name

ABBY

Middle

MARIE

Last Name

MEDFORD

Business Name

ABBY MARIE MEDFORD

Original Issue Date

12/24/2024

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

HARDIN

State

Zip

62047

County

CALHOUN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026