FREDERICK L BRAYFIELD - Physician Assistant License in Illinois | # 085000132

FREDERICK L BRAYFIELD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000132

License Status

NOT RENEWED

Business

N

First Name

FREDERICK L

Last Name

BRAYFIELD

Business Name

FREDERICK L BRAYFIELD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

04/14/1979

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006