DOUGLAS MICHAEL KRYSAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

MICHAEL

Last Name

KRYSAN

Business Name

DOUGLAS MICHAEL KRYSAN

Original Issue Date

12/04/2018

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026