SARAH BETH LONG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002768

License Status

ACTIVE

Business

First Name

SARAH

Middle

BETH

Last Name

LONG

Business Name

SARAH BETH LONG

Original Issue Date

08/09/2006

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

MT JULIET

State

Zip

37122

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025