REBECCA ERIN OBERKROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

REBECCA

Middle

ERIN

Last Name

OBERKROM

Business Name

REBECCA ERIN OBERKROM

Original Issue Date

07/03/2025

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026