BRIAN DAVID AMUNDSON - Physician Assistant License in Illinois | # 085002379

BRIAN DAVID AMUNDSON

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002379

License Status

ACTIVE

Business

N

First Name

BRIAN

Middle

DAVID

Last Name

AMUNDSON

Business Name

BRIAN DAVID AMUNDSON

Original Issue Date

10/08/2004

Effective Date

01/05/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2026