ANDREA MARIA BERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MARIA

Last Name

BERRY

Business Name

ANDREA MARIA BERRY

Original Issue Date

05/16/2019

Effective Date

01/20/2024

Expiration Date

03/01/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025