SHANE HARRIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009911

License Status

ACTIVE

Business

First Name

SHANE

Last Name

HARRIS

Business Name

SHANE HARRIS

Original Issue Date

08/02/2023

Effective Date

03/09/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

03/09/2026