KELSEY ELYSE KOENIG 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

KELSEY

Middle

ELYSE

Last Name

KOENIG

Business Name

KELSEY ELYSE KOENIG

Original Issue Date

04/24/2019

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025