AMANDA LAINE BRAZIS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LAINE

Last Name

BRAZIS

Suffix

DPM

Business Name

AMANDA LAINE BRAZIS DPM

Original Issue Date

03/04/2014

Effective Date

11/18/2024

Expiration Date

01/31/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025