KRISTIN ROTH BRENNAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009950

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

ROTH

Last Name

BRENNAN

Business Name

KRISTIN ROTH BRENNAN

Original Issue Date

08/10/2023

Effective Date

03/04/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026