ANNA KATE LILLIE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

ACTIVE

Business

First Name

ANNA

Middle

KATE

Last Name

LILLIE

Business Name

ANNA KATE LILLIE

Original Issue Date

09/16/2014

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

CHARLESTON

State

Zip

61920

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025