JILLIAN MAUREEN BRESNAHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

MAUREEN

Last Name

BRESNAHAN

Business Name

JILLIAN MAUREEN BRESNAHAN

Original Issue Date

01/21/2022

Effective Date

01/21/2022

Expiration Date

03/01/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025