KATHRIN REBECCA UNDERWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011630

License Status

ACTIVE

Business

First Name

KATHRIN

Middle

REBECCA

Last Name

UNDERWOOD

Business Name

KATHRIN REBECCA UNDERWOOD

Original Issue Date

09/02/2025

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

02/01/2026