ANDREW CLAY KITTERMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

ANDREW

Middle

CLAY

Last Name

KITTERMAN

Business Name

ANDREW CLAY KITTERMAN

Original Issue Date

07/13/2018

Effective Date

03/05/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026