JOY SHANTEL BROYLES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

JOY

Middle

SHANTEL

Last Name

BROYLES

Business Name

JOY SHANTEL BROYLES

Original Issue Date

02/22/2011

Effective Date

03/06/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2018