TRACEY A BREBNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

TRACEY

Middle

Last Name

BREBNER

Business Name

TRACEY A BREBNER

Original Issue Date

02/20/2019

Effective Date

02/06/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025