AMANDA R SCHAEFER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

Last Name

SCHAEFER

Business Name

AMANDA R SCHAEFER MD

Original Issue Date

02/07/2020

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023