KIMBERLY ANN WYATT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007416

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

WYATT

Business Name

KIMBERLY ANN WYATT

Original Issue Date

10/25/2019

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2025