CONNOR JENNINGS BERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

CONNOR

Middle

JENNINGS

Last Name

BERRY

Business Name

CONNOR JENNINGS BERRY

Original Issue Date

07/21/2022

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026