SHANNON KRAMER BACKES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

KRAMER

Last Name

BACKES

Business Name

SHANNON KRAMER BACKES

Original Issue Date

11/05/2008

Effective Date

06/03/2013

Expiration Date

03/01/2014

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014