JACK MICHAEL BRUNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

JACK

Middle

MICHAEL

Last Name

BRUNSON

Business Name

JACK MICHAEL BRUNSON

Original Issue Date

11/27/2013

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026