KELLIE BETH JANSSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

KELLIE

Middle

BETH

Last Name

JANSSEN

Business Name

KELLIE BETH JANSSEN

Original Issue Date

02/18/2011

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026