KIMBERLY ANN SHAW
Physician Assistant Controlled Substance
Illinois 385000702 Not Renewed
This Illinois license was held by KIMBERLY ANN SHAW. The license is no longer active. It was granted on 03/08/2002 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 385000702
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 03/08/2002 (about 22 years ago)
- Expiry Date: 03/01/2010 (over 14 years ago)
LOCATIONS
A Address
Rock Island, IL 61201-5351