AMANDA KATHRYN ROSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007602

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KATHRYN

Last Name

ROSS

Business Name

AMANDA KATHRYN ROSS

Original Issue Date

03/12/2020

Effective Date

03/12/2020

Expiration Date

03/01/2022

City

SARTELL

State

Zip

56377

Ever Disciplined

LastModifiedDate

07/27/2022