TYLER MICHAEL BURRIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

TYLER

Middle

MICHAEL

Last Name

BURRIS

Business Name

TYLER MICHAEL BURRIS

Original Issue Date

10/09/2024

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60645

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026