BONNIE BRIANNA ROSE BIERBAUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

BONNIE BRIANNA

Middle

ROSE

Last Name

BIERBAUM

Business Name

BONNIE BRIANNA ROSE BIERBAUM

Original Issue Date

03/16/2022

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60639

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026