BRANDON ALLEN HUNTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

ALLEN

Last Name

HUNTER

Business Name

BRANDON ALLEN HUNTER

Original Issue Date

07/19/2018

Effective Date

07/19/2018

Expiration Date

03/01/2020

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020