SARAH CATHERINE GAUDIOSI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

INOPERATIVE

Business

First Name

SARAH

Middle

CATHERINE

Last Name

GAUDIOSI

Business Name

SARAH CATHERINE GAUDIOSI

Original Issue Date

08/07/2015

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/28/2016