AMANDA SUE DEIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176201

License Status

ACTIVE

Business

First Name

AMANDA

Middle

SUE

Last Name

DEIS

Business Name

AMANDA SUE DEIS

Original Issue Date

07/22/2025

Effective Date

07/22/2025

Expiration Date

07/31/2026

City

EVERGREEN

State

Zip

80439

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/22/2025