RIVER MORGAINE DIGIULIO ANDRES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

RIVER

Middle

MORGAINE DIGIULIO

Last Name

ANDRES

Business Name

RIVER MORGAINE DIGIULIO ANDRES

Original Issue Date

10/18/2019

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025