AMANDA K PARKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

PARKER

Business Name

AMANDA K PARKER

Original Issue Date

08/28/2012

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

02/23/2026