SHANNON M PORTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001701

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

PORTER

Business Name

SHANNON M PORTER

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

03/01/2004

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006