KRISTINA KLAVERKAMP 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

KRISTINA

Last Name

KLAVERKAMP

Business Name

KRISTINA KLAVERKAMP

Original Issue Date

08/13/2021

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026