ANTHONY JOSEPH SCARDINA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

INOPERATIVE

Business

First Name

ANTHONY

Middle

JOSEPH

Last Name

SCARDINA

Business Name

ANTHONY JOSEPH SCARDINA

Original Issue Date

03/27/2001

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

12/06/2023