SHANNON ROSE HUTTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007577

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

ROSE

Last Name

HUTTON

Business Name

SHANNON ROSE HUTTON

Original Issue Date

02/26/2020

Effective Date

02/26/2020

Expiration Date

03/01/2022

City

LAS VEGAS

State

Zip

89123

Ever Disciplined

LastModifiedDate

07/27/2022