KATELYN MICHELLE ST MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

KATELYN

Middle

MICHELLE

Last Name

ST MARTIN

Business Name

KATELYN MICHELLE ST MARTIN

Original Issue Date

03/19/2019

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

HOMETOWN

State

Zip

60456

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025