KELLY LYNNE PHELPS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001033

License Status

ACTIVE

Business

First Name

KELLY

Middle

LYNNE

Last Name

PHELPS

Business Name

KELLY LYNNE PHELPS

Original Issue Date

03/11/1998

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

12/08/2025