CARLY KRISTINE OUVERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

CARLY

Middle

KRISTINE

Last Name

OUVERSON

Business Name

CARLY KRISTINE OUVERSON

Original Issue Date

05/20/2022

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026