KATIE NICOLE HARRIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

KATIE

Middle

NICOLE

Last Name

HARRIS

Business Name

KATIE NICOLE HARRIS

Original Issue Date

06/26/2021

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025