MARK ANDREW WHITNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005096

License Status

ACTIVE

Business

First Name

MARK

Middle

ANDREW

Last Name

WHITNEY

Business Name

MARK ANDREW WHITNEY

Original Issue Date

08/21/2014

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

01/22/2026