WILLIAM A SHELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

SHELL

Business Name

WILLIAM A SHELL

Original Issue Date

05/20/2008

Effective Date

05/20/2008

Expiration Date

03/01/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/23/2010