SHAMOON MIAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011553

License Status

ACTIVE

Business

First Name

SHAMOON

Last Name

MIAN

Business Name

SHAMOON MIAN

Original Issue Date

08/11/2025

Effective Date

08/11/2025

Expiration Date

03/01/2026

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

12/03/2025