KATHLEEN ERIN CASEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ERIN

Last Name

CASEY

Business Name

KATHLEEN ERIN CASEY

Original Issue Date

04/22/2020

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025