AMANDA A BIBBINGS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BIBBINGS

Business Name

AMANDA A BIBBINGS

Original Issue Date

11/06/2013

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018