LEE ANN BRANDT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

INOPERATIVE

Business

First Name

LEE ANN

Last Name

BRANDT

Business Name

LEE ANN BRANDT

Original Issue Date

03/09/2001

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

07/30/2013