CARRIE R ANDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011279

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

ANDERSON

Business Name

CARRIE R ANDERSON

Original Issue Date

06/06/2025

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/06/2026