KATHY VAN BRUNT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

KATHY

Last Name

VAN BRUNT

Business Name

KATHY VAN BRUNT

Original Issue Date

03/16/2001

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60120

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/05/2025