LEE ANN BRANDT Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000669

License Status

INACTIVE

Business

First Name

LEE ANN

Last Name

BRANDT

Business Name

LEE ANN BRANDT

Original Issue Date

01/25/1995

Effective Date

01/03/2014

Expiration Date

03/01/2016

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/21/2016