BEATRICE A BRAUN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000124

License Status

NOT RENEWED

Business

First Name

BEATRICE A

Last Name

BRAUN

Business Name

BEATRICE A BRAUN

Original Issue Date

01/31/1981

Effective Date

01/31/1981

Expiration Date

01/31/1983

City

LISLE

State

Zip

60532

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006