ROBERT ADAM BROOK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

ACTIVE

Business

First Name

ROBERT

Middle

ADAM

Last Name

BROOK

Business Name

ROBERT ADAM BROOK

Original Issue Date

08/14/2024

Effective Date

08/14/2024

Expiration Date

03/01/2026

City

PUYALLUP

State

Zip

98374

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026