KELLIE BETH JANSSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003980

License Status

ACTIVE

Business

First Name

KELLIE

Middle

BETH

Last Name

JANSSEN

Business Name

KELLIE BETH JANSSEN

Original Issue Date

01/25/2011

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

LAGRANGE HIGHLANDS

State

Zip

60525

Ever Disciplined

LastModifiedDate

12/15/2025