AMANDA R WINTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WINTER

Business Name

AMANDA R WINTER

Original Issue Date

11/05/2009

Effective Date

02/09/2018

Expiration Date

03/01/2020

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020