FREDERICK L BRAYFIELD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000132

License Status

NOT RENEWED

Business

First Name

FREDERICK L

Last Name

BRAYFIELD

Business Name

FREDERICK L BRAYFIELD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

04/14/1979

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/26/2006