AMANDA LYNN PEDOTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005021

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LYNN

Last Name

PEDOTA

Business Name

AMANDA LYNN PEDOTA

Original Issue Date

03/27/2014

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

OAKLAND

State

Zip

94611

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/10/2018