SHOSHANA B CHURCH - Physician Assistant License in Illinois | # 085002122

SHOSHANA B CHURCH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002122

License Status

ACTIVE

Business

N

First Name

SHOSHANA

Middle

B

Last Name

CHURCH

Business Name

SHOSHANA B CHURCH

Original Issue Date

10/15/2003

Effective Date

02/06/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/06/2026