YURI SERGEYVICH KUKLOV Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

ACTIVE

Business

First Name

YURI

Middle

SERGEYVICH

Last Name

KUKLOV

Business Name

YURI SERGEYVICH KUKLOV

Original Issue Date

03/10/2020

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60193

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026