KATHLEEN N CORNELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

Last Name

CORNELL

Business Name

KATHLEEN N CORNELL

Original Issue Date

03/23/2001

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

LONG GROVE

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026