License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Richard Santostefano, Sr.	PA	Huntington, WV	CO, NY,

License History

License Type	License Number	Status	License Date	Expiration Date
PPA	723	Active	09/14/1998	3/31/2027
VPA	13	Expired	09/08/2014	03/31/2019

Education History

School	Date Completed	Nature of Training
Physician Assistant Program University Of Oklahoma	12/21/1982	Physician Assistant School

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Limitation or Restriction on License/Practice	10/4/2017	Consent Order
Yes	Termination of Consent Order	5/7/2018	Board Order

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)
Practice Notification,	05/26/2022	Yes	Ebenezer Medical Outreach 1448 10th Avenue Huntington, WV 25701

This data was retrieved on 4/20/2026.