RONALD DEAN SHORE II Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004625

License Status

ACTIVE

Business

First Name

RONALD

Middle

DEAN

Last Name

SHORE

Suffix

Business Name

RONALD DEAN SHORE II

Original Issue Date

03/01/2013

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2026