VIRGINIA MARIE BRUDER LEEPER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008214

License Status

ACTIVE

Business

First Name

VIRGINIA

Middle

MARIE BRUDER

Last Name

LEEPER

Business Name

VIRGINIA MARIE BRUDER LEEPER

Original Issue Date

02/16/2021

Effective Date

12/28/2023

Expiration Date

03/01/2026

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

12/03/2025