KELLY KRISTINE CUNNINGHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007707

License Status

ACTIVE

Business

First Name

KELLY

Middle

KRISTINE

Last Name

CUNNINGHAM

Business Name

KELLY KRISTINE CUNNINGHAM

Original Issue Date

06/02/2020

Effective Date

12/12/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025