SUSAN AMELANG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008886

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

AMELANG

Business Name

SUSAN AMELANG

Original Issue Date

02/15/2022

Effective Date

02/15/2022

Expiration Date

03/01/2024

City

SAINT JOHNS

State

Zip

32259

Ever Disciplined

LastModifiedDate

02/05/2025