KEVIN MATTHEW KRISE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MATTHEW

Last Name

KRISE

Business Name

KEVIN MATTHEW KRISE

Original Issue Date

12/21/2018

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025