SANDI KAY CANDELLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

SANDI

Middle

KAY

Last Name

CANDELLA

Business Name

SANDI KAY CANDELLA

Original Issue Date

12/09/2016

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025