AMAYA BRIANN BLUE-FARRELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

AMAYA

Middle

BRIANN

Last Name

BLUE-FARRELL

Business Name

AMAYA BRIANN BLUE-FARRELL

Original Issue Date

09/25/2024

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026