AMANDA S SAILLIEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

SAILLIEZ

Business Name

AMANDA S SAILLIEZ

Original Issue Date

10/06/2005

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026