JEREMY DANIEL BRUNNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006454

License Status

ACTIVE

Business

First Name

JEREMY

Middle

DANIEL

Last Name

BRUNNER

Business Name

JEREMY DANIEL BRUNNER

Original Issue Date

11/22/2017

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/02/2026