MEGAN CORNILLIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008182

License Status

NOT RENEWED

Business

First Name

MEGAN

Last Name

CORNILLIE

Business Name

MEGAN CORNILLIE

Original Issue Date

02/01/2021

Effective Date

02/01/2021

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022