KAITLIN LEE GEORGIAFANDIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

KAITLIN

Middle

LEE

Last Name

GEORGIAFANDIS

Business Name

KAITLIN LEE GEORGIAFANDIS

Original Issue Date

07/24/2013

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025