AMANDA MARIE OZANICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

OZANICH

Business Name

AMANDA MARIE OZANICH

Original Issue Date

08/14/2013

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2017