DIANE COLES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007740

License Status

ACTIVE

Business

First Name

DIANE

Last Name

COLES

Business Name

DIANE COLES

Original Issue Date

06/10/2020

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/21/2026