ANNA A SANDOVAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

SANDOVAL

Business Name

ANNA A SANDOVAL

Original Issue Date

12/09/2014

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026