JOSHUA PAUL BRANHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

PAUL

Last Name

BRANHAM

Business Name

JOSHUA PAUL BRANHAM

Original Issue Date

01/19/2011

Effective Date

03/05/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/07/2017