JOSHUA SHANAHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007470

License Status

NOT RENEWED

Business

First Name

JOSHUA

Last Name

SHANAHAN

Business Name

JOSHUA SHANAHAN

Original Issue Date

12/30/2019

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

BURLINGTON

State

Zip

53105

Ever Disciplined

LastModifiedDate

07/27/2022