SARAH RUTH MANNIX Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

SARAH

Middle

RUTH

Last Name

MANNIX

Business Name

SARAH RUTH MANNIX

Original Issue Date

02/26/2022

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026