CATHERINE A HAGEDORN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

CATHERINE

Middle

Last Name

HAGEDORN

Business Name

CATHERINE A HAGEDORN

Original Issue Date

10/17/2006

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026