KATERINA DIANA SHULL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

KATERINA

Middle

DIANA

Last Name

SHULL

Business Name

KATERINA DIANA SHULL

Original Issue Date

10/20/2015

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026