AMY J STITES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005783

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

STITES

Business Name

AMY J STITES

Original Issue Date

02/23/2016

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/12/2026