SHEILA BRUN - Physician Assistant License in Indiana | # 085002617

SHEILA BRUN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002617

License Status

NOT RENEWED

Business

N

First Name

SHEILA

Last Name

BRUN

Business Name

SHEILA BRUN

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

03/01/2006

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006