SANDRA GAIL WITTEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

GAIL

Last Name

WITTEN

Business Name

SANDRA GAIL WITTEN

Original Issue Date

09/19/2011

Effective Date

01/31/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025