AMANDA LYNN SHINALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001591

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LYNN

Last Name

SHINALL

Business Name

AMANDA LYNN SHINALL

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006