ANNA K ELLERBROEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002602

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

ELLERBROEK

Business Name

ANNA K ELLERBROEK

Original Issue Date

09/29/2005

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/08/2025