BRIANA L RUSSOM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003897

License Status

ACTIVE

Business

First Name

BRIANA

Middle

Last Name

RUSSOM

Business Name

BRIANA L RUSSOM

Original Issue Date

09/24/2010

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

01/20/2026