KALYNA PETRUSHA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

KALYNA

Last Name

PETRUSHA

Business Name

KALYNA PETRUSHA

Original Issue Date

10/21/2021

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026