BRENTNY L RENFRO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

BRENTNY

Middle

Last Name

RENFRO

Business Name

BRENTNY L RENFRO

Original Issue Date

07/31/2014

Effective Date

03/02/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026