SHANNON NICOLE O'BRIEN - Physician Assistant License in Illinois | # 085004752

SHANNON NICOLE O'BRIEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004752

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

NICOLE

Last Name

O'BRIEN

Business Name

SHANNON NICOLE O'BRIEN

Original Issue Date

07/23/2013

Effective Date

02/23/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018