SHANA LEE WHITEHEAD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

SHANA

Middle

LEE

Last Name

WHITEHEAD

Business Name

SHANA LEE WHITEHEAD

Original Issue Date

02/03/2003

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025