KAITLIN FAITH COLTHARP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

KAITLIN

Middle

FAITH

Last Name

COLTHARP

Business Name

KAITLIN FAITH COLTHARP

Original Issue Date

10/31/2022

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHARLESTON

State

Zip

61920

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025