KATELYN ROSE MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

KATELYN

Middle

ROSE

Last Name

MARTIN

Business Name

KATELYN ROSE MARTIN

Original Issue Date

10/30/2018

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026