Kourtney Waggoner
ActiveIllinois license 085011941
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085011941
- Status
- Active
- First issued
- December 1, 2025
- Expires
- March 1, 2028
- License holder
- Kourtney Waggoner
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 01/27/2026
Contact
Liverpool, NY 13090