AMANDA KIDDER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

AMANDA

Last Name

KIDDER

Business Name

AMANDA KIDDER

Original Issue Date

08/15/2025

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026