SUSAN WITTLICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009014

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

WITTLICH

Business Name

SUSAN WITTLICH

Original Issue Date

07/09/2022

Effective Date

02/01/2024

Expiration Date

03/01/2026

City

EUREKA

State

Zip

63025

Ever Disciplined

LastModifiedDate

12/03/2025