AMANDA NOELLE HESTAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NOELLE

Last Name

HESTAND

Business Name

AMANDA NOELLE HESTAND

Original Issue Date

06/19/2017

Effective Date

02/16/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020