SHANI AYANNA WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009356

License Status

ACTIVE

Business

First Name

SHANI

Middle

AYANNA

Last Name

WILSON

Business Name

SHANI AYANNA WILSON

Original Issue Date

10/31/2022

Effective Date

04/15/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025