EMILY SHIPMAN LENNON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

SHIPMAN

Last Name

LENNON

Business Name

EMILY SHIPMAN LENNON

Original Issue Date

10/09/2015

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018