KATELYN ANNA MIRABITO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006610

License Status

ACTIVE

Business

First Name

KATELYN

Middle

ANNA

Last Name

MIRABITO

Business Name

KATELYN ANNA MIRABITO

Original Issue Date

07/02/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025