MADISON E NASH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

NASH

Business Name

MADISON E NASH

Original Issue Date

04/08/2021

Effective Date

01/24/2022

Expiration Date

03/01/2024

City

CROWN POINT

State

Zip

46307

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025