AMANDA K PARKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004389

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

PARKER

Business Name

AMANDA K PARKER

Original Issue Date

08/07/2012

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

DUNLAP

State

Zip

61525

Ever Disciplined

LastModifiedDate

02/23/2026