KELLY THERESA WARNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007700

License Status

ACTIVE

Business

First Name

KELLY

Middle

THERESA

Last Name

WARNER

Business Name

KELLY THERESA WARNER

Original Issue Date

06/01/2020

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/29/2026