TERRA MARIE KINNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

ACTIVE

Business

First Name

TERRA

Middle

MARIE

Last Name

KINNEY

Business Name

TERRA MARIE KINNEY

Original Issue Date

12/08/2020

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

HOOPESTON

State

Zip

60942

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025