KALEB CHURCH 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

KALEB

Last Name

CHURCH

Business Name

KALEB CHURCH

Original Issue Date

06/01/2023

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026