KELSEY RENNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

KELSEY

Last Name

RENNER

Business Name

KELSEY RENNER

Original Issue Date

03/30/2021

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025