AMANDA A BIBBINGS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004796

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BIBBINGS

Business Name

AMANDA A BIBBINGS

Original Issue Date

08/08/2013

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018