AMANDA CATHERINE FRASER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

AMANDA

Middle

CATHERINE

Last Name

FRASER

Business Name

AMANDA CATHERINE FRASER

Original Issue Date

12/09/2024

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/28/2026