KEVIN JUDE SHANAHAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

KEVIN

Middle

JUDE

Last Name

SHANAHAN

Business Name

KEVIN JUDE SHANAHAN

Original Issue Date

12/01/2022

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026