KELSA MARIE DEGARMO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

KELSA

Middle

MARIE

Last Name

DEGARMO

Business Name

KELSA MARIE DEGARMO

Original Issue Date

12/01/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

ELGIN

State

Zip

60120

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025