MOLLY ANNE BERGER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

MOLLY

Middle

ANNE

Last Name

BERGER

Business Name

MOLLY ANNE BERGER

Original Issue Date

08/24/2019

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/14/2026