ZACHARY R SHIELDS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

ZACHARY

Middle

Last Name

SHIELDS

Prefix

Business Name

ZACHARY R SHIELDS

Original Issue Date

06/24/2022

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026