DUSTIN COREY CONSOL - Physician Assistant License in Illinois | # 085009362

DUSTIN COREY CONSOL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009362

License Status

NOT RENEWED

Business

N

First Name

DUSTIN

Middle

COREY

Last Name

CONSOL

Business Name

DUSTIN COREY CONSOL

Original Issue Date

11/01/2022

Effective Date

11/01/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025