REBECCA KATHLEEN MINNIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003413

License Status

ACTIVE

Business

First Name

REBECCA

Middle

KATHLEEN

Last Name

MINNIS

Business Name

REBECCA KATHLEEN MINNIS

Original Issue Date

01/23/2009

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/08/2025