SHANNON A ROSINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

ROSINE

Business Name

SHANNON A ROSINE

Original Issue Date

10/15/2009

Effective Date

01/21/2016

Expiration Date

03/01/2018

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018