KRISTINA MARIE ENGELHAUPT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

MARIE

Last Name

ENGELHAUPT

Business Name

KRISTINA MARIE ENGELHAUPT

Original Issue Date

11/04/2022

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60602

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026