CHRISTINE SHANA BOEHMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

SHANA

Last Name

BOEHMER

Business Name

CHRISTINE SHANA BOEHMER

Original Issue Date

12/18/2023

Effective Date

12/18/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025