NANCY JEAN SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

NANCY

Middle

JEAN

Last Name

SHANNON

Business Name

NANCY JEAN SHANNON MD

Original Issue Date

11/01/2019

Effective Date

11/01/2019

Expiration Date

09/30/2020

City

SAN FRANCISCO

State

Zip

94103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021