TIMOTHY ALAN BRYAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004461

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

ALAN

Last Name

BRYAN

Business Name

TIMOTHY ALAN BRYAN

Original Issue Date

09/19/2012

Effective Date

12/07/2023

Expiration Date

03/01/2026

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2025