KAYLIE NICOLE PRICHODKO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

NOT RENEWED

Business

First Name

KAYLIE

Middle

NICOLE

Last Name

PRICHODKO

Business Name

KAYLIE NICOLE PRICHODKO

Original Issue Date

12/18/2017

Effective Date

01/14/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025