AMANDA JANE JORDAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JANE

Last Name

JORDAN

Business Name

AMANDA JANE JORDAN

Original Issue Date

08/25/2021

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026