EMILY SHIPMAN LENNON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005570

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

SHIPMAN

Last Name

LENNON

Business Name

EMILY SHIPMAN LENNON

Original Issue Date

07/22/2015

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018