KAYLA MARIE GIESCHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

MARIE

Last Name

GIESCHEN

Business Name

KAYLA MARIE GIESCHEN

Original Issue Date

10/20/2016

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020