GINA M BRAIDMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000988

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

BRAIDMAN

Business Name

GINA M BRAIDMAN

Original Issue Date

01/20/1998

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

04/11/2012