KATHERINE BLACK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011849

License Status

ACTIVE

Business

First Name

KATHERINE

Last Name

BLACK

Business Name

KATHERINE BLACK

Original Issue Date

11/03/2025

Effective Date

11/03/2025

Expiration Date

03/01/2026

City

AUSTIN

State

Zip

78754

Ever Disciplined

LastModifiedDate

12/03/2025