KACI JO SPENCER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

KACI

Middle

Last Name

SPENCER

Business Name

KACI JO SPENCER

Original Issue Date

09/13/2018

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026