DANIELLE MARIE SANDOVAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

MARIE

Last Name

SANDOVAL

Business Name

DANIELLE MARIE SANDOVAL

Original Issue Date

12/11/2015

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026