SALLY ANN VESPA 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

SALLY

Middle

ANN

Last Name

VESPA

Business Name

SALLY ANN VESPA

Original Issue Date

03/23/2001

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

ATHENS

State

Zip

62613

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026