KAILEEN ELIZABETH HEALY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

INOPERATIVE

Business

First Name

KAILEEN

Middle

ELIZABETH

Last Name

HEALY

Business Name

KAILEEN ELIZABETH HEALY

Original Issue Date

09/27/2019

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023