RACHEL ANN ASHBROOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

ANN

Last Name

ASHBROOK

Business Name

RACHEL ANN ASHBROOK

Original Issue Date

10/16/2018

Effective Date

10/16/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61103

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020