SHANNON MARIE TRANTHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008052

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

TRANTHAM

Business Name

SHANNON MARIE TRANTHAM

Original Issue Date

11/02/2020

Effective Date

11/02/2020

Expiration Date

03/01/2022

City

DAVISBURG

State

Zip

48350

Ever Disciplined

LastModifiedDate

07/27/2022