ASHLEY CAROLYN REEDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

CAROLYN

Last Name

REEDY

Business Name

ASHLEY CAROLYN REEDY

Original Issue Date

12/23/2008

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

HIGHLAND

State

Zip

62249

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022