AMANDA OLSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010029

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

OLSEN

Business Name

AMANDA OLSEN

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

03/01/2024

City

NEENAH

State

Zip

54956

Ever Disciplined

LastModifiedDate

02/05/2025