AMANDA MARY FITZGERALD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007664

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARY

Last Name

FITZGERALD

Business Name

AMANDA MARY FITZGERALD

Original Issue Date

05/20/2020

Effective Date

05/20/2020

Expiration Date

03/01/2022

City

SARASOTA

State

Zip

34243

Ever Disciplined

LastModifiedDate

07/27/2022