KELLIE KENT DEWITT 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

KELLIE

Middle

KENT

Last Name

DEWITT

Business Name

KELLIE KENT DEWITT

Original Issue Date

07/28/2009

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

EL PASO

State

Zip

61738

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025