KRISTEN MARIE FARRIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MARIE

Last Name

FARRIS

Business Name

KRISTEN MARIE FARRIS

Original Issue Date

03/25/2008

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/23/2026