SHANNON WITTEL KUBIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

SHANNON

Last Name

WITTEL KUBIS

Business Name

SHANNON WITTEL KUBIS

Original Issue Date

02/21/2023

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60123

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026