SHANNON M OSORIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

OSORIO

Business Name

SHANNON M OSORIO

Original Issue Date

08/19/2009

Effective Date

02/23/2010

Expiration Date

03/01/2012

City

EAST DUNDEE

State

Zip

60118

Ever Disciplined

LastModifiedDate

12/15/2017