DEANDRA MARISSAH THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

DEANDRA

Middle

MARISSAH

Last Name

THOMPSON

Business Name

DEANDRA MARISSAH THOMPSON

Original Issue Date

11/14/2022

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026