BRIAN J CUMMINGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002639

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

CUMMINGS

Business Name

BRIAN J CUMMINGS

Original Issue Date

10/24/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/04/2025