Indiana
Professional Licensing Agency
Shannon Noelle Outen Childers
Physician Assistant
License number
10000532A
Date granted
12/12/2001
Date expires
06/30/2004
Class
Physician Assistant
Status
Expired
Address
Palmyra IN 47164
indianalicensing.org
ID 8391436
LAST UPDATED 2026-06-03 12:19:20 UTC
LAST UPDATED 2026-06-03 12:19:20 UTC
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