KENNEDIE LEWIS 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

KENNEDIE

Last Name

LEWIS

Business Name

KENNEDIE LEWIS

Original Issue Date

07/15/2025

Effective Date

02/15/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60585

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/15/2026