KELLY KAY OTT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

KELLY

Middle

KAY

Last Name

OTT

Business Name

KELLY KAY OTT

Original Issue Date

01/05/2012

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60624

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025