AMANDA EILEEN DUTTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

EILEEN

Last Name

DUTTON

Business Name

AMANDA EILEEN DUTTON

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

03/01/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/29/2014