YURI SERGEYVICH KUKLOV Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007553

License Status

ACTIVE

Business

First Name

YURI

Middle

SERGEYVICH

Last Name

KUKLOV

Business Name

YURI SERGEYVICH KUKLOV

Original Issue Date

02/13/2020

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2026