SHANNA LEIGH WOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

LEIGH

Last Name

WOOD

Business Name

SHANNA LEIGH WOOD

Original Issue Date

01/20/2022

Effective Date

02/01/2022

Expiration Date

03/01/2024

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025