AMANDA D JORDAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002058

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

JORDAN

Business Name

AMANDA D JORDAN

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

03/01/2006

City

NORFOLK

State

Zip

23508

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006