LAUREN KATHERINE KELLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

LAUREN

Middle

KATHERINE

Last Name

KELLY

Business Name

LAUREN KATHERINE KELLY

Original Issue Date

09/11/2023

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026