MITCHELL WAYNE SANDERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

WAYNE

Last Name

SANDERS

Business Name

MITCHELL WAYNE SANDERS

Original Issue Date

11/23/2021

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025