KAYLA ANN LARSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

INOPERATIVE

Business

First Name

KAYLA

Middle

ANN

Last Name

LARSON

Business Name

KAYLA ANN LARSON

Original Issue Date

11/16/2017

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2022