AMANDA NICOLE MCCORMICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005992

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICOLE

Last Name

MCCORMICK

Business Name

AMANDA NICOLE MCCORMICK

Original Issue Date

09/21/2016

Effective Date

12/12/2023

Expiration Date

03/01/2026

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

12/03/2025