BRETT JOSEPH GENENBACHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

BRETT

Middle

JOSEPH

Last Name

GENENBACHER

Business Name

BRETT JOSEPH GENENBACHER

Original Issue Date

10/04/2021

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

QUINCY

State

Zip

62305

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025