COLLEEN E KELLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003555

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

KELLY

Business Name

COLLEEN E KELLY

Original Issue Date

09/01/2009

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2026