KELLY MARIE HARTNETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011099

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

HARTNETT

Business Name

KELLY MARIE HARTNETT

Original Issue Date

02/03/2025

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/12/2026