CAELAN RIVER SCOTT KIVETTE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

CAELAN

Middle

RIVER

Last Name

SCOTT KIVETTE

Business Name

CAELAN RIVER SCOTT KIVETTE

Original Issue Date

12/05/2023

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

BOSTON

State

Zip

02108

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025