SHANNON MARIE TRANTHAM - Physician Assistant License in Michigan | # 085008052

SHANNON MARIE TRANTHAM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008052

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

MARIE

Last Name

TRANTHAM

Business Name

SHANNON MARIE TRANTHAM

Original Issue Date

11/02/2020

Effective Date

11/02/2020

Expiration Date

03/01/2022

State

MI

Ever Disciplined

N

LastModifiedDate

07/27/2022