SHANNON D ZAJAC Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000998

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

ZAJAC

Business Name

SHANNON D ZAJAC

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2008

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

12/14/2007