SAMANTHA MARIE COREY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007345

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

COREY

Business Name

SAMANTHA MARIE COREY

Original Issue Date

10/03/2019

Effective Date

02/05/2022

Expiration Date

03/01/2024

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/05/2025