EMILIE M A BRENNAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

INOPERATIVE

Business

First Name

EMILIE

Middle

M A

Last Name

BRENNAN

Business Name

EMILIE M A BRENNAN

Original Issue Date

09/19/2013

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/19/2015