AMANDA LORENE MABUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LORENE

Last Name

MABUS

Business Name

AMANDA LORENE MABUS

Original Issue Date

01/02/2013

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026