KAITLIN SAMANTHA BROWN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

KAITLIN

Middle

SAMANTHA

Last Name

BROWN

Business Name

KAITLIN SAMANTHA BROWN

Original Issue Date

01/31/2023

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026