ANNICA MARIE SHUMNY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

ANNICA

Middle

MARIE

Last Name

SHUMNY

Business Name

ANNICA MARIE SHUMNY

Original Issue Date

11/20/2018

Effective Date

02/23/2022

Expiration Date

03/01/2024

City

MELROSE PARK

State

Zip

60610

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025