SHANNON VIRGINIA TAYLOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001215

License Status

ACTIVE

Business

First Name

SHANNON

Middle

VIRGINIA

Last Name

TAYLOR

Business Name

SHANNON VIRGINIA TAYLOR

Original Issue Date

04/21/1999

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/26/2026