ASHLEY NICOLE KORCHYK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

KORCHYK

Business Name

ASHLEY NICOLE KORCHYK

Original Issue Date

10/27/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020