AMANDA KAY DEVOSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KAY

Last Name

DEVOSS

Business Name

AMANDA KAY DEVOSS

Original Issue Date

10/01/2001

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012