CLAYTON KLINE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

CLAYTON

Last Name

KLINE

Business Name

CLAYTON KLINE

Original Issue Date

12/27/2021

Effective Date

01/22/2024

Expiration Date

03/01/2026

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025