KEVIN ROY POOLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

ROY

Last Name

POOLE

Business Name

KEVIN ROY POOLE

Original Issue Date

01/14/2015

Effective Date

02/16/2022

Expiration Date

03/01/2024

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025