KELLY A MUSCAVITCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005451

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

MUSCAVITCH

Business Name

KELLY A MUSCAVITCH

Original Issue Date

03/27/2015

Effective Date

12/19/2025

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

12/19/2025