Shivana Tate

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085011102

Status

Expired (Not Renewed)

First issued

February 6, 2025

Expired

March 1, 2026

License holder

Shivana Tate

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/06/2025

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