TERRA MARIE KINNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007843

License Status

ACTIVE

Business

First Name

TERRA

Middle

MARIE

Last Name

KINNEY

Business Name

TERRA MARIE KINNEY

Original Issue Date

07/15/2020

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

01/05/2026