KELLY LINN PAGE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

KELLY

Middle

LINN

Last Name

PAGE

Business Name

KELLY LINN PAGE

Original Issue Date

12/21/2005

Effective Date

12/29/2025

Expiration Date

03/01/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2025