KATIE ROSE KIRKMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

KATIE

Middle

ROSE

Last Name

KIRKMAN

Business Name

KATIE ROSE KIRKMAN

Original Issue Date

12/10/2024

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026