WHITNEY DIANNE KAUFFMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004133

License Status

ACTIVE

Business

First Name

WHITNEY

Middle

DIANNE

Last Name

KAUFFMAN

Business Name

WHITNEY DIANNE KAUFFMAN

Original Issue Date

09/19/2011

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

12/03/2025