AMANDA EILEEN DUTTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004319

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

EILEEN

Last Name

DUTTON

Business Name

AMANDA EILEEN DUTTON

Original Issue Date

04/03/2012

Effective Date

04/03/2012

Expiration Date

03/01/2014

City

EUGENE

State

Zip

97401

Ever Disciplined

LastModifiedDate

04/29/2014