SAGE MADISON SASSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011658

License Status

ACTIVE

Business

First Name

SAGE

Middle

MADISON

Last Name

SASSO

Business Name

SAGE MADISON SASSO

Original Issue Date

09/19/2025

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

12/03/2025