KIMBERLY D SHAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003355

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

SHAW

Business Name

KIMBERLY D SHAW

Original Issue Date

10/10/2008

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026