BRENNAN ROBERT MALHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005974

License Status

ACTIVE

Business

First Name

BRENNAN

Middle

ROBERT

Last Name

MALHAM

Business Name

BRENNAN ROBERT MALHAM

Original Issue Date

09/13/2016

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/04/2025