ROBERT THOMAS BRANNICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

THOMAS

Last Name

BRANNICK

Business Name

ROBERT THOMAS BRANNICK

Original Issue Date

01/11/2019

Effective Date

01/17/2022

Expiration Date

03/01/2024

City

JOLIET

State

Zip

60435

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025