KAYLA CHRISTYNE MARTINEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

CHRISTYNE

Last Name

MARTINEZ

Business Name

KAYLA CHRISTYNE MARTINEZ

Original Issue Date

06/29/2015

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

RIVERSIDE

State

Zip

60546

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022