STACI J LADOWITZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007299

License Status

ACTIVE

Business

First Name

STACI

Middle

Last Name

LADOWITZ

Business Name

STACI J LADOWITZ

Original Issue Date

09/20/2019

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/12/2026