EMILY N SHAW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002177

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

SHAW

Business Name

EMILY N SHAW

Original Issue Date

11/04/2003

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

11/24/2020