KRISTEN MICHELLE BRAUN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

INOPERATIVE

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

BRAUN

Business Name

KRISTEN MICHELLE BRAUN

Original Issue Date

09/22/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/18/2019