SANDRA DEE FANTAUZZI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010761

License Status

ACTIVE

Business

First Name

SANDRA

Middle

DEE

Last Name

FANTAUZZI

Business Name

SANDRA DEE FANTAUZZI

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

03/01/2026

City

ORLANDO

State

Zip

32801

Ever Disciplined

LastModifiedDate

12/03/2025