KELLY LYNNE PHELPS 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

KELLY

Middle

LYNNE

Last Name

PHELPS

Business Name

KELLY LYNNE PHELPS

Original Issue Date

05/21/2001

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

12/08/2025