KELLY J STANEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

STANEK

Business Name

KELLY J STANEK

Original Issue Date

04/01/2014

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

PALOS HILLS

State

Zip

60465

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026