BRIAN ALLEN BRECKLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006634

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ALLEN

Last Name

BRECKLEY

Business Name

BRIAN ALLEN BRECKLEY

Original Issue Date

07/13/2018

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022