CARRIE ELIZABETH KEENAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

ACTIVE

Business

First Name

CARRIE

Middle

ELIZABETH

Last Name

KEENAN

Business Name

CARRIE ELIZABETH KEENAN

Original Issue Date

02/24/2022

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2026