SANDRA GAIL WITTEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003992

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

GAIL

Last Name

WITTEN

Business Name

SANDRA GAIL WITTEN

Original Issue Date

02/14/2011

Effective Date

01/31/2022

Expiration Date

03/01/2024

City

HIGHLAND PARK

State

Zip

60035

Ever Disciplined

LastModifiedDate

02/05/2025