KRISTY MARIE MACELLAIO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001893

License Status

ACTIVE

Business

First Name

KRISTY

Middle

MARIE

Last Name

MACELLAIO

Business Name

KRISTY MARIE MACELLAIO

Original Issue Date

10/02/2002

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025