AMANDA KIDDER - Physician Assistant License in Illinois | # 085011123

AMANDA KIDDER

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011123

License Status

ACTIVE

Business

N

First Name

AMANDA

Last Name

KIDDER

Business Name

AMANDA KIDDER

Original Issue Date

02/20/2025

Effective Date

01/20/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/20/2026