KEVIN ROBERT RUNGE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002433

License Status

ACTIVE

Business

First Name

KEVIN

Middle

ROBERT

Last Name

RUNGE

Business Name

KEVIN ROBERT RUNGE

Original Issue Date

12/10/2004

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2026