KATHLEEN ELIZABETH ANDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

ELIZABETH

Last Name

ANDERSON

Business Name

KATHLEEN ELIZABETH ANDERSON

Original Issue Date

08/09/2001

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/12/2026