AMANDA MARIE STUCKY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

STUCKY

Business Name

AMANDA MARIE STUCKY

Original Issue Date

07/23/2015

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026