EDWIN D KYLE III Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

INOPERATIVE

Business

First Name

EDWIN

Middle

Last Name

KYLE

Suffix

III

Business Name

EDWIN D KYLE III

Original Issue Date

06/07/2010

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022