MARIELVA ASHLEY BANKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

MARIELVA

Middle

ASHLEY

Last Name

BANKS

Business Name

MARIELVA ASHLEY BANKS

Original Issue Date

11/28/2017

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

DYER

State

Zip

46311

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025