MATTHEW SHAYNE LEE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008943

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

SHAYNE

Last Name

LEE

Business Name

MATTHEW SHAYNE LEE

Original Issue Date

03/21/2022

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

02/11/2026