KATELYN RUGINO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

KATELYN

Last Name

RUGINO

Business Name

KATELYN RUGINO

Original Issue Date

12/21/2023

Effective Date

12/21/2023

Expiration Date

03/01/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025