KATHLEEN M HARLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

HARLEY

Business Name

KATHLEEN M HARLEY

Original Issue Date

11/16/2010

Effective Date

01/19/2022

Expiration Date

03/01/2024

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025