KATHRYN LYNN SHANNON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

LYNN

Last Name

SHANNON

Business Name

KATHRYN LYNN SHANNON

Original Issue Date

02/03/2016

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026