KIMBERLY ANN SHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001681

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

SHAW

Business Name

KIMBERLY ANN SHAW

Original Issue Date

11/06/2001

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026