JESSICA PUTNICK SANDSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

JESSICA

Middle

PUTNICK

Last Name

SANDSTROM

Business Name

JESSICA PUTNICK SANDSTROM

Original Issue Date

08/18/2023

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

EAST AMHERST

State

Zip

14051

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026