RONALD DEAN SHORE II Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

RONALD

Middle

DEAN

Last Name

SHORE

Suffix

Business Name

RONALD DEAN SHORE II

Original Issue Date

11/18/2013

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026