SAGE MADISON SASSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

SAGE

Middle

MADISON

Last Name

SASSO

Business Name

SAGE MADISON SASSO

Original Issue Date

10/29/2025

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

LANSING

State

Zip

60438

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2026