AMY LYN CLAMPITT-HOLSENBECK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYN

Last Name

CLAMPITT-HOLSENBECK

Business Name

AMY LYN CLAMPITT-HOLSENBECK

Original Issue Date

10/16/2021

Effective Date

10/16/2021

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022