KYLE D FORTMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001651

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

FORTMAN

Business Name

KYLE D FORTMAN

Original Issue Date

10/26/2001

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

SMYRNA

State

Zip

30080

Ever Disciplined

LastModifiedDate

02/28/2026