KATELYN MICHELLE ST MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006852

License Status

ACTIVE

Business

First Name

KATELYN

Middle

MICHELLE

Last Name

ST MARTIN

Business Name

KATELYN MICHELLE ST MARTIN

Original Issue Date

11/29/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CARY

State

Zip

60013

County

LAKE

Ever Disciplined

LastModifiedDate

12/04/2025