KATELYN ELIZABETH DEROSA 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

KATELYN

Middle

ELIZABETH

Last Name

DEROSA

Business Name

KATELYN ELIZABETH DEROSA

Original Issue Date

08/07/2018

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

AURORA

State

Zip

60504

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025