COLLIN SHANLEY MCLEAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

COLLIN

Middle

SHANLEY

Last Name

MCLEAN

Business Name

COLLIN SHANLEY MCLEAN

Original Issue Date

11/14/2023

Effective Date

02/26/2024

Expiration Date

03/01/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025