KELLY LYNN MAGOON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005091

License Status

ACTIVE

Business

First Name

KELLY

Middle

LYNN

Last Name

MAGOON

Business Name

KELLY LYNN MAGOON

Original Issue Date

07/24/2014

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/15/2026