SUSANNA SANTOS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006888

License Status

NOT RENEWED

Business

First Name

SUSANNA

Last Name

SANTOS

Business Name

SUSANNA SANTOS

Original Issue Date

12/11/2018

Effective Date

02/11/2022

Expiration Date

03/01/2024

City

SAN DIEGO

State

Zip

92121

Ever Disciplined

LastModifiedDate

02/05/2025