WATAN SANDY ABUAITA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006051

License Status

NOT RENEWED

Business

First Name

WATAN

Middle

SANDY

Last Name

ABUAITA

Business Name

WATAN SANDY ABUAITA

Original Issue Date

10/14/2016

Effective Date

02/22/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60654

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/27/2022