KATHERINE LOUISE WAGNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009268

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

LOUISE

Last Name

WAGNER

Business Name

KATHERINE LOUISE WAGNER

Original Issue Date

09/29/2022

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025