AMANDA MARIE OZANICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004719

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

OZANICH

Business Name

AMANDA MARIE OZANICH

Original Issue Date

07/15/2013

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2017