KELLY KAY OTT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004230

License Status

ACTIVE

Business

First Name

KELLY

Middle

KAY

Last Name

OTT

Business Name

KELLY KAY OTT

Original Issue Date

10/27/2011

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60624

Ever Disciplined

LastModifiedDate

12/04/2025