MADISYN SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012131

License Status

ACTIVE

Business

First Name

MADISYN

Last Name

SULLIVAN

Business Name

MADISYN SULLIVAN

Original Issue Date

03/03/2026

Effective Date

03/03/2026

Expiration Date

03/01/2028

City

ENTERPRISE

State

Zip

36330

Ever Disciplined

LastModifiedDate

02/27/2026