NATALIE PATTY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

ACTIVE

Business

First Name

NATALIE

Last Name

PATTY

Business Name

NATALIE PATTY

Original Issue Date

10/25/2023

Effective Date

02/07/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2026