COREY MICHAEL MERRILL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005395

License Status

NOT RENEWED

Business

First Name

COREY

Middle

MICHAEL

Last Name

MERRILL

Business Name

COREY MICHAEL MERRILL

Original Issue Date

02/02/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020