CAROLINE KELLEHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

CAROLINE

Last Name

KELLEHER

Business Name

CAROLINE KELLEHER

Original Issue Date

06/10/2022

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2025