KEELY ERIN PEDERSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004520

License Status

ACTIVE

Business

First Name

KEELY

Middle

ERIN

Last Name

PEDERSEN

Business Name

KEELY ERIN PEDERSEN

Original Issue Date

10/22/2012

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/15/2025