KIMBERLY ANN RUSSELL - Physician Assistant License in Illinois | # 085010266

KIMBERLY ANN RUSSELL

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010266

License Status

ACTIVE

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

RUSSELL

Business Name

KIMBERLY ANN RUSSELL

Original Issue Date

01/20/2024

Effective Date

02/01/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/01/2026