MOMODOU SALLAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001515

License Status

ACTIVE

Business

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

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

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.