Amanda Cochran Lange
ExpiredIllinois license 38*****22
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****22
- Status
- Expired (Not Renewed)
- First issued
- October 22, 2012
- Expired
- March 1, 2022
- License holder
- Amanda Cochran Lange
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 01/14/2020
Other Illinois licenses under this name
-
IL
ExpiredEau Claire, WIExpired Mar 1, 2022
Contact
Eau Claire, WI 54701
Winnebago County