AMANDA LAINE BRAZIS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005557

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LAINE

Last Name

BRAZIS

Suffix

DPM

Business Name

AMANDA LAINE BRAZIS DPM

Original Issue Date

04/11/2013

Effective Date

11/18/2024

Expiration Date

01/31/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/26/2025