AMANDA SUZANNE DVORAK - Physician Assistant License in Illinois | # 085006527

AMANDA SUZANNE DVORAK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006527

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

SUZANNE

Last Name

DVORAK

Business Name

AMANDA SUZANNE DVORAK

Original Issue Date

02/27/2018

Effective Date

02/27/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020