GINA M BRAIDMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

BRAIDMAN

Business Name

GINA M BRAIDMAN

Original Issue Date

08/21/2001

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2012