KELLY CODERRE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006717

License Status

ACTIVE

Business

First Name

KELLY

Last Name

CODERRE

Business Name

KELLY CODERRE

Original Issue Date

08/23/2018

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2026