SPENCER PHILIP SHOLL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011027

License Status

ACTIVE

Business

First Name

SPENCER

Middle

PHILIP

Last Name

SHOLL

Business Name

SPENCER PHILIP SHOLL

Original Issue Date

12/26/2024

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/30/2026