STEPHANIE LYNN KULAVIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

KULAVIC

Business Name

STEPHANIE LYNN KULAVIC

Original Issue Date

09/28/2023

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026