KANYADA SUVITTAYASIRI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

KANYADA

Last Name

SUVITTAYASIRI

Business Name

KANYADA SUVITTAYASIRI

Original Issue Date

01/24/2018

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026