SHANNON HOLLAND Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

INOPERATIVE

Business

First Name

SHANNON

Last Name

HOLLAND

Business Name

SHANNON HOLLAND

Original Issue Date

08/06/2003

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019