BRIAN J CUMMINGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

CUMMINGS

Business Name

BRIAN J CUMMINGS

Original Issue Date

11/15/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025