ASHLEIGH ANN GLASS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008193

License Status

NOT RENEWED

Business

First Name

ASHLEIGH

Middle

ANN

Last Name

GLASS

Business Name

ASHLEIGH ANN GLASS

Original Issue Date

02/05/2021

Effective Date

02/05/2021

Expiration Date

03/01/2022

City

ST LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

07/27/2022