AMANDA LYNN ROCHE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LYNN

Last Name

ROCHE

Business Name

AMANDA LYNN ROCHE

Original Issue Date

08/25/2017

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025