SAMANTHA MARIE COREY - Physician Assistant License in Illinois | # 085007345

SAMANTHA MARIE COREY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007345

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

MARIE

Last Name

COREY

Business Name

SAMANTHA MARIE COREY

Original Issue Date

10/03/2019

Effective Date

02/05/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025