BRUCE A R BRASWELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

BRUCE

Middle

A R

Last Name

BRASWELL

Business Name

BRUCE A R BRASWELL

Original Issue Date

03/27/2001

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

VANDALIA

State

Zip

62471

County

FAYETTE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026