ASHLEY MAZALEWSKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

ASHLEY

Last Name

MAZALEWSKI

Business Name

ASHLEY MAZALEWSKI

Original Issue Date

11/20/2020

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025