KELLY M CARUSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

CARUSO

Business Name

KELLY M CARUSO

Original Issue Date

12/14/2006

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

LEMONT

State

Zip

60439

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026