DANIELLE MARIE AMATO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

INOPERATIVE

Business

First Name

DANIELLE

Middle

MARIE

Last Name

AMATO

Business Name

DANIELLE MARIE AMATO

Original Issue Date

08/13/2009

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2015