SANDRA J MICCI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000483

License Status

ACTIVE

Business

First Name

SANDRA J

Last Name

MICCI

Business Name

SANDRA J MICCI

Original Issue Date

02/04/1992

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

01/15/2026