ANDREW KELLY GUARDIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

ACTIVE

Business

First Name

ANDREW

Middle

KELLY

Last Name

GUARDIA

Business Name

ANDREW KELLY GUARDIA

Original Issue Date

12/04/2007

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026