REBECCA KATHLEEN MINNIS 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

REBECCA

Middle

KATHLEEN

Last Name

MINNIS

Business Name

REBECCA KATHLEEN MINNIS

Original Issue Date

01/23/2009

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025