BRANDI NICOLE WEAVER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

BRANDI

Middle

NICOLE

Last Name

WEAVER

Business Name

BRANDI NICOLE WEAVER

Original Issue Date

12/30/2016

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026