SARAH DENISE KELLEY 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

SARAH

Middle

DENISE

Last Name

KELLEY

Business Name

SARAH DENISE KELLEY

Original Issue Date

06/04/2021

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026