SHELLY JO REITEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

SHELLY

Middle

Last Name

REITEN

Business Name

SHELLY JO REITEN

Original Issue Date

03/27/2001

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026