KATHERINE E BRUNE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

BRUNE

Business Name

KATHERINE E BRUNE

Original Issue Date

09/21/2022

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61104

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026