THERESA M HARRELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003874

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

HARRELL

Business Name

THERESA M HARRELL

Original Issue Date

09/16/2010

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

02/05/2026