AMANDA MAE OLIDEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MAE

Last Name

OLIDEN

Business Name

AMANDA MAE OLIDEN

Original Issue Date

11/10/2021

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025