ELIZABETH ANNE BRIGHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006631

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

BRIGHAM

Business Name

ELIZABETH ANNE BRIGHAM

Original Issue Date

07/13/2018

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022