AMANDA SUZANNE DVORAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006527

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUZANNE

Last Name

DVORAK

Business Name

AMANDA SUZANNE DVORAK

Original Issue Date

02/27/2018

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020