BRIAN JEFFREY BRUNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005031

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

JEFFREY

Last Name

BRUNO

Business Name

BRIAN JEFFREY BRUNO

Original Issue Date

03/31/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

MC FARLAND

State

Zip

53558

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2018