Colleen Brown, PA-C
- Verification result
- Current license matched
- Credential
- PA-C
- Ohio license status
- Ohio Physician Assistant License: Active
- License number
- 50.004399RX
- License expires
- January 2028
- NPI
- 1154656890
- Primary taxonomy
- Physician Assistant, Medical
- Role stated by clinic
- No role stated by the clinic
- Checked
- Verified October 4, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- No role stated on the pages reviewed
- Credential
- PA-C
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- revivedimageaesthetics.com/about-3
- Date checked
- October 12, 2026
Colleen Brown, PA-C.
Federal provider record
- NPI
- 1154656890
- Primary taxonomy
- Physician Assistant, Medical
- Source
- NPPES NPI Registry
- Date checked
- October 4, 2026
State professional license
- Credential
- PA-C
- State license
- State Medical Board of Ohio
- License number
- 50.004399RX
- Status
- Active
- Expires
- January 2028
- Checked
- October 4, 2026
Board action recorded: None found in the file we read.
Physician Assistant (PA) license 50.004399RX; Colleen Marie Brown; status: Active; expires 2028-01-31; issued 2015-07-24; board action: none_found; city Avon Lake; oh-elicense published 2026-10-02, eLicense_Individual.csv row 1190255
State data published October 2, 2026.
Verification finding
- Result
- Current license matched (Active)
Revived Image names Colleen Brown, PA-C, on its website. Verified Injector matched this clinician to license 50.004399RX at the State Medical Board of Ohio, which that board recorded as Active when checked October 4, 2026.