MITRA SUSAN SHULTZ - Physician Assistant License in Illinois | # 085006383

MITRA SUSAN SHULTZ

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006383

License Status

ACTIVE

Business

N

First Name

MITRA

Middle

SUSAN

Last Name

SHULTZ

Business Name

MITRA SUSAN SHULTZ

Original Issue Date

10/04/2017

Effective Date

12/16/2023

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025