KYLE STEVEN EICHELBERGER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

KYLE

Middle

STEVEN

Last Name

EICHELBERGER

Business Name

KYLE STEVEN EICHELBERGER

Original Issue Date

10/23/2012

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MONTICELLO

State

Zip

61856

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025