BRANDEN LEE MOSSMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007003

License Status

NOT RENEWED

Business

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

City

MORTON GROVE

State

Zip

60053

Ever Disciplined

LastModifiedDate

02/05/2025