BRANDEN LEE MOSSMAN - Physician Assistant License in Illinois | # 085007003

BRANDEN LEE MOSSMAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007003

License Status

NOT RENEWED

Business

N

First Name

BRANDEN

Middle

LEE

Last Name

MOSSMAN

Business Name

BRANDEN LEE MOSSMAN

Original Issue Date

03/19/2019

Effective Date

01/29/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025