AMANDA MARIE ALLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004220

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

ALLEN

Business Name

AMANDA MARIE ALLEN

Original Issue Date

10/21/2011

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/26/2026