SHANNON G SHIPMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

SHIPMAN

Business Name

SHANNON G SHIPMAN

Original Issue Date

09/17/2025

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CICERO

State

Zip

60804

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026