KELLY A OMSBERG 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

KELLY

Middle

Last Name

OMSBERG

Business Name

KELLY A OMSBERG

Original Issue Date

02/07/2007

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026