AMANDA LOUISE SHULL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

AMANDA

Middle

LOUISE

Last Name

SHULL

Business Name

AMANDA LOUISE SHULL

Original Issue Date

06/17/2009

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026