CAROLINE G KORNAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

Last Name

KORNAK

Business Name

CAROLINE G KORNAK

Original Issue Date

10/13/2021

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

ZION

State

Zip

60099

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026