CHAD S BROOKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004256

License Status

ACTIVE

Business

First Name

CHAD

Middle

Last Name

BROOKS

Business Name

CHAD S BROOKS

Original Issue Date

12/12/2011

Effective Date

08/15/2025

Expiration Date

03/01/2026

City

LIZELLA

State

Zip

31052

Ever Disciplined

LastModifiedDate

12/03/2025