MARIELVA ASHLEY BANKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006321

License Status

ACTIVE

Business

First Name

MARIELVA

Middle

ASHLEY

Last Name

BANKS

Business Name

MARIELVA ASHLEY BANKS

Original Issue Date

08/22/2017

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

DYER

State

Zip

46311

County

WILL

Ever Disciplined

LastModifiedDate

12/03/2025