AUDREY WIEGMANN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

AUDREY

Last Name

WIEGMANN

Business Name

AUDREY WIEGMANN

Original Issue Date

08/09/2019

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026