SHANE HARRIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

SHANE

Last Name

HARRIS

Business Name

SHANE HARRIS

Original Issue Date

02/07/2024

Effective Date

03/09/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026