BRENNA LAUREN HENNESSEY - Physician Assistant License in California | # 085006662

BRENNA LAUREN HENNESSEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006662

License Status

NOT RENEWED

Business

N

First Name

BRENNA

Middle

LAUREN

Last Name

HENNESSEY

Business Name

BRENNA LAUREN HENNESSEY

Original Issue Date

07/23/2018

Effective Date

01/15/2020

Expiration Date

03/01/2022

State

CA

Ever Disciplined

N

LastModifiedDate

07/27/2022