KELLY A MUSCAVITCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

MUSCAVITCH

Business Name

KELLY A MUSCAVITCH

Original Issue Date

05/26/2015

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026