TYLER J MCCAULEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

TYLER

Middle

Last Name

MCCAULEY

Business Name

TYLER J MCCAULEY

Original Issue Date

09/14/2019

Effective Date

03/11/2024

Expiration Date

03/01/2026

City

NORTH CHICAGO

State

Zip

60621

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025