MITCHELL WAYNE SANDERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008547

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

WAYNE

Last Name

SANDERS

Business Name

MITCHELL WAYNE SANDERS

Original Issue Date

08/18/2021

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

12/09/2025