BRIAN JEFFREY BRUNO - Physician Assistant License in Wisconsin | # 085005031

BRIAN JEFFREY BRUNO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005031

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

JEFFREY

Last Name

BRUNO

Business Name

BRIAN JEFFREY BRUNO

Original Issue Date

03/31/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

State

WI

Ever Disciplined

N

LastModifiedDate

05/10/2018