SHANNON N SMITH - Physician Assistant License in Illinois | # 085003472

SHANNON N SMITH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003472

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

N

Last Name

SMITH

Business Name

SHANNON N SMITH

Original Issue Date

06/16/2009

Effective Date

12/09/2009

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

12/15/2017