KAITLIN ROSE WALTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006003

License Status

ACTIVE

Business

First Name

KAITLIN

Middle

ROSE

Last Name

WALTER

Business Name

KAITLIN ROSE WALTER

Original Issue Date

09/23/2016

Effective Date

03/05/2024

Expiration Date

03/01/2026

City

HOLLY RIDGE

State

Zip

28445

Ever Disciplined

LastModifiedDate

12/03/2025