KELLIE KENT DEWITT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003478

License Status

ACTIVE

Business

First Name

KELLIE

Middle

KENT

Last Name

DEWITT

Business Name

KELLIE KENT DEWITT

Original Issue Date

06/24/2009

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/08/2025