SHANNON XIANGYANG SHI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111685

License Status

INACTIVE

Business

First Name

SHANNON

Middle

XIANGYANG

Last Name

SHI

Suffix

Business Name

SHANNON XIANGYANG SHI MD

Original Issue Date

06/24/2004

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DUBLIN

State

Zip

94568

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/05/2020