KATHRYN CORGAN MITCHELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006150

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

CORGAN

Last Name

MITCHELL

Business Name

KATHRYN CORGAN MITCHELL

Original Issue Date

03/10/2017

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022