KATHLEEN MARIE MARIANI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

MARIANI

Business Name

KATHLEEN MARIE MARIANI

Original Issue Date

03/24/2006

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

WAUCONDA

State

Zip

60084

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026