KATHERINE SHANNON MCCROSSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

SHANNON

Last Name

MCCROSSEN

Business Name

KATHERINE SHANNON MCCROSSEN

Original Issue Date

08/04/2020

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026