LAURA ROSE KIDD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002750

License Status

ACTIVE

Business

First Name

LAURA

Middle

ROSE

Last Name

KIDD

Business Name

LAURA ROSE KIDD

Original Issue Date

07/25/2006

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/15/2025