TAYLOR K STENMARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

STENMARK

Business Name

TAYLOR K STENMARK

Original Issue Date

11/30/2022

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026