BRIAN NEAL SHORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002428

License Status

ACTIVE

Business

First Name

BRIAN

Middle

NEAL

Last Name

SHORE

Business Name

BRIAN NEAL SHORE

Original Issue Date

12/08/2004

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/05/2026