SHANA LEE WHITEHEAD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001659

License Status

ACTIVE

Business

First Name

SHANA

Middle

LEE

Last Name

WHITEHEAD

Business Name

SHANA LEE WHITEHEAD

Original Issue Date

10/31/2001

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

VIRGINIA

State

Zip

62691

County

CASS

Ever Disciplined

LastModifiedDate

12/03/2025