REBECCA MARY KATH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011133

License Status

ACTIVE

Business

First Name

REBECCA

Middle

MARY

Last Name

KATH

Business Name

REBECCA MARY KATH

Original Issue Date

02/24/2025

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/11/2026