ANNE N MAYER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

ANNE

Middle

Last Name

MAYER

Business Name

ANNE N MAYER

Original Issue Date

01/01/2017

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/03/2025