CASSIE L MANDALA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

CASSIE

Middle

Last Name

MANDALA

Business Name

CASSIE L MANDALA

Original Issue Date

12/12/2007

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2026