SHANE OLIVER JORDAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007138

License Status

ACTIVE

Business

First Name

SHANE

Middle

OLIVER

Last Name

JORDAN

Business Name

SHANE OLIVER JORDAN

Original Issue Date

07/27/2019

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

BUFFALO

State

Zip

14204

Ever Disciplined

LastModifiedDate

02/27/2026