KAITLYN N ANGELETTI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

KAITLYN

Middle

Last Name

ANGELETTI

Business Name

KAITLYN N ANGELETTI

Original Issue Date

04/16/2015

Effective Date

03/14/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020