ANDREA MARIA BERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007007

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MARIA

Last Name

BERRY

Business Name

ANDREA MARIA BERRY

Original Issue Date

03/21/2019

Effective Date

12/31/2023

Expiration Date

03/01/2026

City

COLLINSVILLE

State

Zip

62234

Ever Disciplined

LastModifiedDate

12/03/2025