SHANNON KATHLEEN CORCORAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009819

License Status

ACTIVE

Business

First Name

SHANNON

Middle

KATHLEEN

Last Name

CORCORAN

Business Name

SHANNON KATHLEEN CORCORAN

Original Issue Date

07/21/2023

Effective Date

03/14/2024

Expiration Date

03/01/2026

City

UPPER ARLINGTON

State

Zip

43221

Ever Disciplined

LastModifiedDate

12/03/2025