BETHANY JOY MUMBOWER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003839

License Status

ACTIVE

Business

First Name

BETHANY

Middle

JOY

Last Name

MUMBOWER

Business Name

BETHANY JOY MUMBOWER

Original Issue Date

09/01/2010

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/22/2026