KELLY MARONEY VINSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARONEY

Last Name

VINSON

Business Name

KELLY MARONEY VINSON

Original Issue Date

09/10/2012

Effective Date

02/07/2026

Expiration Date

03/01/2028

City

LINDENHURST

State

Zip

60046

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2026