BROOKE KELLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011103

License Status

ACTIVE

Business

First Name

BROOKE

Last Name

KELLY

Business Name

BROOKE KELLY

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

03/01/2026

City

GILBERT

State

Zip

85295

Ever Disciplined

LastModifiedDate

12/03/2025