SHELBY LANE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010175

License Status

NOT RENEWED

Business

First Name

SHELBY

Last Name

LANE

Business Name

SHELBY LANE

Original Issue Date

11/08/2023

Effective Date

11/08/2023

Expiration Date

03/01/2024

City

NOBLESVILLE

State

Zip

46060

County

HAMILTON

Ever Disciplined

LastModifiedDate

02/05/2025