MARIE ELYSE BREWER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

MARIE

Middle

ELYSE

Last Name

BREWER

Business Name

MARIE ELYSE BREWER

Original Issue Date

03/04/2020

Effective Date

08/15/2024

Expiration Date

03/01/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025