MICHELE D BRANNAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

MICHELE

Middle

Last Name

BRANNAN

Business Name

MICHELE D BRANNAN

Original Issue Date

08/03/2004

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026