ROBERT THOMAS BRANNICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006859

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

THOMAS

Last Name

BRANNICK

Business Name

ROBERT THOMAS BRANNICK

Original Issue Date

12/04/2018

Effective Date

01/17/2022

Expiration Date

03/01/2024

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

02/05/2025