BRANDON ALAN SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008249

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

ALAN

Last Name

SMITH

Business Name

BRANDON ALAN SMITH

Original Issue Date

03/24/2021

Effective Date

03/24/2021

Expiration Date

03/01/2022

City

DRAPER

State

Zip

84020

Ever Disciplined

LastModifiedDate

07/27/2022