SHANNON D ZAJAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

ZAJAC

Business Name

SHANNON D ZAJAC

Original Issue Date

03/26/2001

Effective Date

03/26/2001

Expiration Date

03/01/2008

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006