SHARLINA DANIELLE DHOM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

SHARLINA

Middle

DANIELLE

Last Name

DHOM

Business Name

SHARLINA DANIELLE DHOM

Original Issue Date

11/20/2020

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026