BRIANNE PATRICIA RANDALL - Physician Assistant License in Illinois | # 085004735

BRIANNE PATRICIA RANDALL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004735

License Status

NOT RENEWED

Business

N

First Name

BRIANNE

Middle

PATRICIA

Last Name

RANDALL

Business Name

BRIANNE PATRICIA RANDALL

Original Issue Date

07/22/2013

Effective Date

02/26/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016