KIMBERLY J LASHWAY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

LASHWAY

Business Name

KIMBERLY J LASHWAY

Original Issue Date

12/30/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025