KRISTEN ASHLEE HARRIS 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

KRISTEN

Middle

ASHLEE

Last Name

HARRIS

Business Name

KRISTEN ASHLEE HARRIS

Original Issue Date

10/30/2018

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026