KATHY A HERREN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002634

License Status

ACTIVE

Business

First Name

KATHY

Middle

Last Name

HERREN

Business Name

KATHY A HERREN

Original Issue Date

10/21/2005

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CREAL SPRINGS

State

Zip

62922

Ever Disciplined

LastModifiedDate

01/13/2026