COURTNEY A KELLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

COURTNEY

Middle

Last Name

KELLY

Business Name

COURTNEY A KELLY

Original Issue Date

11/28/2007

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

MAZON

State

Zip

60444

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026