ERIC MICHAEL SPENNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005503

License Status

ACTIVE

Business

First Name

ERIC

Middle

MICHAEL

Last Name

SPENNER

Business Name

ERIC MICHAEL SPENNER

Original Issue Date

06/25/2015

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2026