AMANDA RAE DOUBLEDAY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

RAE

Last Name

DOUBLEDAY

Business Name

AMANDA RAE DOUBLEDAY DO

Original Issue Date

03/05/2018

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023