AMANDA MARIE MURPHY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

MURPHY

Business Name

AMANDA MARIE MURPHY

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

03/01/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006