KATHRYN CORGAN MITCHELL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

INOPERATIVE

Business

First Name

KATHRYN

Middle

CORGAN

Last Name

MITCHELL

Business Name

KATHRYN CORGAN MITCHELL

Original Issue Date

08/02/2017

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/03/2022