BRENDA JOANNA KELLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

BRENDA

Middle

JOANNA

Last Name

KELLEY

Business Name

BRENDA JOANNA KELLEY

Original Issue Date

01/02/2018

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60586

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026