KELLI FORSYTH MILLICAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

KELLI

Middle

FORSYTH

Last Name

MILLICAN

Business Name

KELLI FORSYTH MILLICAN

Original Issue Date

11/13/2017

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026