SAMANTHA ALLISON MOOBERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005497

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ALLISON

Last Name

MOOBERRY

Business Name

SAMANTHA ALLISON MOOBERRY

Original Issue Date

06/23/2015

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

PEKIN

State

Zip

61554

County

PEORIA

Ever Disciplined

LastModifiedDate

01/09/2026