ANDREA JO MITTS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

MITTS

Business Name

ANDREA JO MITTS

Original Issue Date

06/03/2023

Effective Date

12/29/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2025