KELLIE KENT DEWITT - Physician Assistant License in Illinois | # 085003478

KELLIE KENT DEWITT

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003478

License Status

ACTIVE

Business

N

First Name

KELLIE

Middle

KENT

Last Name

DEWITT

Business Name

KELLIE KENT DEWITT

Original Issue Date

06/24/2009

Effective Date

12/08/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/08/2025