KATHY A HERREN 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

KATHY

Middle

Last Name

HERREN

Business Name

KATHY A HERREN

Original Issue Date

12/21/2005

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026