KATELYN ROSE MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006792

License Status

ACTIVE

Business

First Name

KATELYN

Middle

ROSE

Last Name

MARTIN

Business Name

KATELYN ROSE MARTIN

Original Issue Date

10/30/2018

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

COLUMBIA

State

Zip

62236

Ever Disciplined

LastModifiedDate

02/04/2026