SARA GRACE WALLIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012180

License Status

ACTIVE

Business

First Name

SARA

Middle

GRACE

Last Name

WALLIN

Business Name

SARA GRACE WALLIN

Original Issue Date

03/20/2026

Effective Date

03/20/2026

Expiration Date

03/01/2028

City

NEW YORK

State

Zip

10013

Ever Disciplined

LastModifiedDate

03/20/2026