KATERINA DIANA SHULL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004980

License Status

ACTIVE

Business

First Name

KATERINA

Middle

DIANA

Last Name

SHULL

Business Name

KATERINA DIANA SHULL

Original Issue Date

01/28/2014

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/10/2025