LEE ANN BRANDT - Physician Assistant License in Illinois | # 085000669

LEE ANN BRANDT

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000669

License Status

INACTIVE

Business

N

First Name

LEE ANN

Last Name

BRANDT

Business Name

LEE ANN BRANDT

Original Issue Date

01/25/1995

Effective Date

01/03/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

01/21/2016