KELLIE SPERDUTO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

INOPERATIVE

Business

First Name

KELLIE

Last Name

SPERDUTO

Business Name

KELLIE SPERDUTO

Original Issue Date

03/27/2023

Effective Date

03/27/2023

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2024