MELANIE A SHALES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003511

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

SHALES

Business Name

MELANIE A SHALES

Original Issue Date

07/16/2009

Effective Date

01/22/2010

Expiration Date

03/01/2012

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012