ALYSSA BRIE KETCHUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

BRIE

Last Name

KETCHUM

Business Name

ALYSSA BRIE KETCHUM

Original Issue Date

07/31/2015

Effective Date

12/27/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026