RICHARD TODD KERR 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

RICHARD

Middle

TODD

Last Name

KERR

Business Name

RICHARD TODD KERR

Original Issue Date

12/01/2011

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026