BRUCE A R BRASWELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000902

License Status

ACTIVE

Business

First Name

BRUCE

Middle

A R

Last Name

BRASWELL

Business Name

BRUCE A R BRASWELL

Original Issue Date

03/11/1997

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/11/2026