RYAN ANDJULO IRVING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009147

License Status

ACTIVE

Business

First Name

RYAN

Middle

ANDJULO

Last Name

IRVING

Business Name

RYAN ANDJULO IRVING

Original Issue Date

07/30/2022

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

INDIANAPOLIS

State

Zip

46202

Ever Disciplined

LastModifiedDate

02/12/2026