KATRINA JAMES DE SHANEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004361

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

JAMES

Last Name

DE SHANEY

Business Name

KATRINA JAMES DE SHANEY

Original Issue Date

07/18/2012

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/24/2020