KELLY CODERRE - Physician Assistant License in Illinois | # 085006717

KELLY CODERRE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006717

License Status

ACTIVE

Business

N

First Name

KELLY

Last Name

CODERRE

Business Name

KELLY CODERRE

Original Issue Date

08/23/2018

Effective Date

02/25/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/25/2026