AMBER BOURQUE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012001

License Status

ACTIVE

Business

First Name

AMBER

Last Name

BOURQUE

Business Name

AMBER BOURQUE

Original Issue Date

01/12/2026

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/10/2026