RYAN GARRETT ANDEWAY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

RYAN

Middle

GARRETT

Last Name

ANDEWAY

Business Name

RYAN GARRETT ANDEWAY

Original Issue Date

09/25/2024

Effective Date

12/29/2025

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60586

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2025