PHILIP A BRANSHAW Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

PHILIP A

Last Name

BRANSHAW

Business Name

PHILIP A BRANSHAW

Original Issue Date

11/07/1996

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023