KORI LYNN CARROLL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001261

License Status

ACTIVE

Business

First Name

KORI

Middle

LYNN

Last Name

CARROLL

Business Name

KORI LYNN CARROLL

Original Issue Date

12/23/1999

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/09/2025