ASHLEY BROOKE DEICHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

BROOKE

Last Name

DEICHER

Business Name

ASHLEY BROOKE DEICHER

Original Issue Date

02/05/2020

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025