AMANDA MARIE ALLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

ALLEN

Business Name

AMANDA MARIE ALLEN

Original Issue Date

12/13/2011

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026