AMANDA MARIE BERNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

BERNO

Business Name

AMANDA MARIE BERNO

Original Issue Date

01/06/2020

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022