KATY Y HASSAN 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

KATY

Middle

Last Name

HASSAN

Business Name

KATY Y HASSAN

Original Issue Date

12/16/2020

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026