MICHAEL EDWARD BRAZELTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

BRAZELTON

Business Name

MICHAEL EDWARD BRAZELTON

Original Issue Date

02/26/2016

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026