AMANDA MARIE OZANICH - Physician Assistant License in Illinois | # 085004719

AMANDA MARIE OZANICH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004719

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

MARIE

Last Name

OZANICH

Business Name

AMANDA MARIE OZANICH

Original Issue Date

07/15/2013

Effective Date

01/07/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2017