CONOR WALTER KUCZKA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

CONOR

Middle

WALTER

Last Name

KUCZKA

Business Name

CONOR WALTER KUCZKA

Original Issue Date

02/06/2025

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026