ERIN GRACE KINSELLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

ERIN

Middle

GRACE

Last Name

KINSELLA

Business Name

ERIN GRACE KINSELLA

Original Issue Date

01/11/2019

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026