CLAIRE MARIE BRZESKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

NOT RENEWED

Business

First Name

CLAIRE

Middle

MARIE

Last Name

BRZESKI

Business Name

CLAIRE MARIE BRZESKI

Original Issue Date

09/19/2017

Effective Date

02/16/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/29/2021