BRANDON KIRK DENNIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

BRANDON

Middle

KIRK

Last Name

DENNIS

Business Name

BRANDON KIRK DENNIS

Original Issue Date

01/25/2024

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

MORRISON

State

Zip

61270

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026