KASSIDY RAE FALDUTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

KASSIDY

Middle

RAE

Last Name

FALDUTO

Business Name

KASSIDY RAE FALDUTO

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025