KACIE BROOKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

KACIE

Last Name

BROOKS

Business Name

KACIE BROOKS

Original Issue Date

10/30/2025

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63110

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/06/2026