SOPHIA HOPE KANNENBERG O'BRYAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006740

License Status

ACTIVE

Business

First Name

SOPHIA

Middle

HOPE KANNENBERG

Last Name

O'BRYAN

Business Name

SOPHIA HOPE KANNENBERG O'BRYAN

Original Issue Date

09/05/2018

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

ROUND LAKE BEACH

State

Zip

60073

Ever Disciplined

LastModifiedDate

12/03/2025