ANDREA ROSE KOERNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007171

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

ROSE

Last Name

KOERNER

Business Name

ANDREA ROSE KOERNER

Original Issue Date

08/12/2019

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022