SHANNON ROOT - Physician Assistant License in Illinois | # 085007847

SHANNON ROOT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007847

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Last Name

ROOT

Business Name

SHANNON ROOT

Original Issue Date

07/20/2020

Effective Date

07/20/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022