SHANNON NICOLE O'BRIEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004752

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

NICOLE

Last Name

O'BRIEN

Business Name

SHANNON NICOLE O'BRIEN

Original Issue Date

07/23/2013

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/10/2018