DUSTIN COREY CONSOL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009362

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

COREY

Last Name

CONSOL

Business Name

DUSTIN COREY CONSOL

Original Issue Date

11/01/2022

Effective Date

11/01/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025