MEGAN CORNILLIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

MEGAN

Last Name

CORNILLIE

Business Name

MEGAN CORNILLIE

Original Issue Date

04/13/2021

Effective Date

07/05/2021

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022