KASSIDY RAE FALDUTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011614

License Status

ACTIVE

Business

First Name

KASSIDY

Middle

RAE

Last Name

FALDUTO

Business Name

KASSIDY RAE FALDUTO

Original Issue Date

08/28/2025

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

12/11/2025