LAUREN VICTORIA KYROUAC 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

LAUREN

Middle

VICTORIA

Last Name

KYROUAC

Business Name

LAUREN VICTORIA KYROUAC

Original Issue Date

04/29/2021

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

INDIANA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025