JACK MICHAEL BRUNSON - Physician Assistant License in Illinois | # 085004840

JACK MICHAEL BRUNSON

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004840

License Status

ACTIVE

Business

N

First Name

JACK

Middle

MICHAEL

Last Name

BRUNSON

Business Name

JACK MICHAEL BRUNSON

Original Issue Date

09/26/2013

Effective Date

02/08/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2026