Disciplinary Action

The following information was retrieved from the Department's database at 11/23/2024 9:08:56 AM. The information presented reflects the database records at the time of your inquiry; however, it will not reflect pending updates which are being processed by the Department.

Name

KORN, SHENANDOAH

Respondent Type

Licensed Individual

License Number

SA550964000

File Number

04F-LI-196

Order Type

Consent Order

Reason

Conviction(s)

Order Date

9/16/2004

Dispositions

License Granted (w/o hearing)
Practice Monitor
Provisional License - 2 years
Urinalysis

Currently unavailable in electronic format.