KATHERINE L WALLS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

WALLS

Business Name

KATHERINE L WALLS

Original Issue Date

07/19/2024

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026