KATELYN ANNA MIRABITO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

KATELYN

Middle

ANNA

Last Name

MIRABITO

Business Name

KATELYN ANNA MIRABITO

Original Issue Date

01/22/2019

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025