BRANDON L BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

BROWN

Business Name

BRANDON L BROWN

Original Issue Date

07/16/2015

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60804

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020