KELLY ANN ALI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

ALI

Business Name

KELLY ANN ALI

Original Issue Date

11/09/2011

Effective Date

01/15/2024

Expiration Date

03/01/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025