BRIAN DAVID AMUNDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002379

License Status

ACTIVE

Business

First Name

BRIAN

Middle

DAVID

Last Name

AMUNDSON

Business Name

BRIAN DAVID AMUNDSON

Original Issue Date

10/08/2004

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/05/2026