KELLY MARIE HARTNETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

HARTNETT

Business Name

KELLY MARIE HARTNETT

Original Issue Date

02/25/2025

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026