KATIE BEETZ 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

KATIE

Last Name

BEETZ

Business Name

KATIE BEETZ

Original Issue Date

03/05/2026

Effective Date

03/05/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61605

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026