KYLE PARKE WOODWORTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005756

License Status

ACTIVE

Business

First Name

KYLE

Middle

PARKE

Last Name

WOODWORTH

Business Name

KYLE PARKE WOODWORTH

Original Issue Date

01/08/2016

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2025