KRISTEN MICHELLE BRAUN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005655

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

BRAUN

Business Name

KRISTEN MICHELLE BRAUN

Original Issue Date

09/22/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/24/2020