BRIAN C FRUIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002851

License Status

ACTIVE

Business

First Name

BRIAN C

Last Name

FRUIN

Business Name

BRIAN C FRUIN

Original Issue Date

10/16/2006

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025