MARINA A SODAGAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

MARINA

Middle

Last Name

SODAGAR

Business Name

MARINA A SODAGAR

Original Issue Date

02/22/2011

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

PLEASANT PRAIRIE

State

Zip

53158

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026