JACQUELINE CLAIRE BRAGUNIER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

CLAIRE

Last Name

BRAGUNIER

Business Name

JACQUELINE CLAIRE BRAGUNIER

Original Issue Date

07/26/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2010