SHANNON HOLLAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000977

License Status

NOT RENEWED

Business

First Name

SHANNON

Last Name

HOLLAND

Business Name

SHANNON HOLLAND

Original Issue Date

01/20/1998

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

AURORA

State

Zip

60503

County

WILL

Ever Disciplined

LastModifiedDate

11/24/2020