SHANNON NICOLE O'BRIEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

SHANNON

Middle

NICOLE

Last Name

O'BRIEN

Business Name

SHANNON NICOLE O'BRIEN

Original Issue Date

11/05/2013

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2018