JUSTIN LEE SHANK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

LEE

Last Name

SHANK

Business Name

JUSTIN LEE SHANK

Original Issue Date

09/20/2017

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026