KATHERINE SHELLEY COX Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

INOPERATIVE

Business

First Name

KATHERINE

Middle

SHELLEY

Last Name

COX

Business Name

KATHERINE SHELLEY COX

Original Issue Date

03/03/2015

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018