REBECCA KILLIAN EDMONDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

REBECCA

Middle

KILLIAN

Last Name

EDMONDSON

Business Name

REBECCA KILLIAN EDMONDSON

Original Issue Date

08/20/2013

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026