MOMODOU SALLAH - Physician Assistant License in Illinois | # 085001515

MOMODOU SALLAH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001515

License Status

ACTIVE

Business

N

First Name

MOMODOU

Last Name

SALLAH

Business Name

MOMODOU SALLAH

Original Issue Date

12/11/2000

Effective Date

02/10/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

Y

LastModifiedDate

02/10/2026

Case Number

2014000835

Action

Refuse To Renew

Discipline Start Date

04/09/2014

Discipline End Date

08/06/2014

Discipline Reason

for being more than 30 days delinquent in the payment of child support.