KIMBERLY ANN RUSSELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010266

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

RUSSELL

Business Name

KIMBERLY ANN RUSSELL

Original Issue Date

01/20/2024

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

Ever Disciplined

LastModifiedDate

02/01/2026