KEVIN JUDE SHANAHAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009116

License Status

ACTIVE

Business

First Name

KEVIN

Middle

JUDE

Last Name

SHANAHAN

Business Name

KEVIN JUDE SHANAHAN

Original Issue Date

07/23/2022

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

02/18/2026