EDWIN D KYLE III Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001137

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

Last Name

KYLE

Suffix

III

Business Name

EDWIN D KYLE III

Original Issue Date

01/11/1999

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022