REBECCA RUTH DESSENBERGER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

INACTIVE

Business

First Name

REBECCA

Middle

RUTH

Last Name

DESSENBERGER

Business Name

REBECCA RUTH DESSENBERGER

Original Issue Date

09/09/2020

Effective Date

12/28/2023

Expiration Date

03/01/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026