KATIE MARIE REIDY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

KATIE

Middle

MARIE

Last Name

REIDY

Business Name

KATIE MARIE REIDY

Original Issue Date

10/31/2018

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

GREAT LAKES

State

Zip

60088

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025