KYLIE LYNN MACK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

KYLIE

Middle

LYNN

Last Name

MACK

Business Name

KYLIE LYNN MACK

Original Issue Date

10/01/2012

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026