AMALIA MARIA PRODANOVIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

AMALIA

Middle

MARIA

Last Name

PRODANOVIC

Business Name

AMALIA MARIA PRODANOVIC

Original Issue Date

08/29/2018

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026