AMANDA MICHELLE TUCKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

TUCKER

Business Name

AMANDA MICHELLE TUCKER

Original Issue Date

12/28/2017

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026