AMANDA SUSAN BOO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

AMANDA

Middle

SUSAN

Last Name

BOO

Business Name

AMANDA SUSAN BOO

Original Issue Date

11/30/2016

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60516

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026