AMANDA P MONTELEONE 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

Last Name

MONTELEONE

Business Name

AMANDA P MONTELEONE

Original Issue Date

12/11/2012

Effective Date

01/13/2024

Expiration Date

03/01/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025