SHANNON L VARNER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

INOPERATIVE

Business

First Name

SHANNON

Middle

Last Name

VARNER

Business Name

SHANNON L VARNER

Original Issue Date

12/23/2015

Effective Date

12/23/2015

Expiration Date

03/01/2018

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018