SHENYKA M WHEATLY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004736

License Status

INACTIVE

Business

First Name

SHENYKA

Middle

Last Name

WHEATLY

Business Name

SHENYKA M WHEATLY

Original Issue Date

07/22/2013

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2022