SHANNON MARIE GROVES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003046

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

GROVES

Business Name

SHANNON MARIE GROVES

Original Issue Date

09/17/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

04/11/2012