SOFIA JEANETTE BRANT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

SOFIA

Middle

JEANETTE

Last Name

BRANT

Business Name

SOFIA JEANETTE BRANT

Original Issue Date

07/03/2023

Effective Date

01/14/2024

Expiration Date

03/01/2026

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025