KELLEY ANN CHRISTENSEN 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

KELLEY

Middle

ANN

Last Name

CHRISTENSEN

Business Name

KELLEY ANN CHRISTENSEN

Original Issue Date

07/17/2020

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026