NANCY ELIZABETH BRYAN DO Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000504

License Status

CANCELLED

Business

First Name

NANCY

Middle

ELIZABETH

Last Name

BRYAN

Suffix

Business Name

NANCY ELIZABETH BRYAN DO

Original Issue Date

08/03/1992

Effective Date

08/03/1992

Expiration Date

03/01/2004

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

11/22/2017