KATHRIN REBECCA UNDERWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

KATHRIN

Middle

REBECCA

Last Name

UNDERWOOD

Business Name

KATHRIN REBECCA UNDERWOOD

Original Issue Date

11/12/2025

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026