AMANDA MARKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

AMANDA

Last Name

MARKS

Business Name

AMANDA MARKS

Original Issue Date

09/05/2024

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026