MARY KATE MINEMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

MARY KATE

Last Name

MINEMAN

Business Name

MARY KATE MINEMAN

Original Issue Date

11/05/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025