RUSSELL W BROWN II - Physician Assistant License in Illinois | # 085002271

RUSSELL W BROWN II

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002271

License Status

NOT RENEWED

Business

N

First Name

RUSSELL

Middle

W

Last Name

BROWN

Suffix

II

Business Name

RUSSELL W BROWN II

Original Issue Date

07/27/2004

Effective Date

02/04/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022