KATHERINE IRENE CARLSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004178

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

IRENE

Last Name

CARLSON

Business Name

KATHERINE IRENE CARLSON

Original Issue Date

10/03/2011

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

POPLAR GROVE

State

Zip

61065

Ever Disciplined

LastModifiedDate

02/18/2026