JACK MICHAEL BRUNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004840

License Status

ACTIVE

Business

First Name

JACK

Middle

MICHAEL

Last Name

BRUNSON

Business Name

JACK MICHAEL BRUNSON

Original Issue Date

09/26/2013

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2026