AMANDA MARIE BERNO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007343

License Status

INACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

BERNO

Business Name

AMANDA MARIE BERNO

Original Issue Date

10/03/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022