AMANDA JUSTUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008070

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

JUSTUS

Business Name

AMANDA JUSTUS

Original Issue Date

11/06/2020

Effective Date

11/06/2020

Expiration Date

03/01/2022

City

HIGHLAND PARK

State

Zip

60035

Ever Disciplined

LastModifiedDate

07/27/2022