REILY NICOLE KEMMERLING Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

INOPERATIVE

Business

First Name

REILY

Middle

NICOLE

Last Name

KEMMERLING

Business Name

REILY NICOLE KEMMERLING

Original Issue Date

09/12/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022