KELLY C COUSINS - Physician Assistant License in Illinois | # 085007097

KELLY C COUSINS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007097

License Status

ACTIVE

Business

N

First Name

KELLY

Middle

C

Last Name

COUSINS

Business Name

KELLY C COUSINS

Original Issue Date

07/10/2019

Effective Date

12/03/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/15/2026