ANNE MARIE BRIDEGROOM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009102

License Status

ACTIVE

Business

First Name

ANNE

Middle

MARIE

Last Name

BRIDEGROOM

Business Name

ANNE MARIE BRIDEGROOM

Original Issue Date

07/21/2022

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

FLORISSANT

State

Zip

63034

Ever Disciplined

LastModifiedDate

12/03/2025