KATRINA L TRIPP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004472

License Status

ACTIVE

Business

First Name

KATRINA

Middle

Last Name

TRIPP

Business Name

KATRINA L TRIPP

Original Issue Date

09/26/2012

Effective Date

02/01/2024

Expiration Date

03/01/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/03/2025