KATHERINE IRENE CARLSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

IRENE

Last Name

CARLSON

Business Name

KATHERINE IRENE CARLSON

Original Issue Date

12/13/2011

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026