SHANNON A ROSINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003310

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

ROSINE

Business Name

SHANNON A ROSINE

Original Issue Date

09/16/2008

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018