BRANDI RENEE EGIZIO - Physician Assistant License in Illinois | # 085002108

BRANDI RENEE EGIZIO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002108

License Status

NOT RENEWED

Business

N

First Name

BRANDI

Middle

RENEE

Last Name

EGIZIO

Business Name

BRANDI RENEE EGIZIO

Original Issue Date

10/08/2003

Effective Date

03/02/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018