AMALIA M CANADA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

AMALIA

Middle

Last Name

CANADA

Business Name

AMALIA M CANADA

Original Issue Date

07/16/2015

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025