AMANDA MARIE CZARNECKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

CZARNECKI

Business Name

AMANDA MARIE CZARNECKI

Original Issue Date

03/07/2019

Effective Date

02/25/2022

Expiration Date

03/01/2024

City

BALLWIN

State

Zip

63021

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025