KAITLYN STRYCKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

KAITLYN

Last Name

STRYCKER

Business Name

KAITLYN STRYCKER

Original Issue Date

07/20/2012

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020