MICHAEL EDWARD BRAZELTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005778

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

BRAZELTON

Business Name

MICHAEL EDWARD BRAZELTON

Original Issue Date

02/08/2016

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

EDWARDSVILLE

State

Zip

62025

County

MONROE

Ever Disciplined

LastModifiedDate

02/20/2026