SAVANNAH MAE SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008952

License Status

ACTIVE

Business

First Name

SAVANNAH

Middle

MAE

Last Name

SULLIVAN

Business Name

SAVANNAH MAE SULLIVAN

Original Issue Date

04/06/2022

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

SOUTH CHARLESTON

State

Zip

45368

Ever Disciplined

LastModifiedDate

02/10/2026