KELLY ELIZABETH JERNIGAN 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

KELLY

Middle

ELIZABETH

Last Name

JERNIGAN

Business Name

KELLY ELIZABETH JERNIGAN

Original Issue Date

08/15/2024

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025