JACOB HOLLAND SHIELDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

HOLLAND

Last Name

SHIELDS

Business Name

JACOB HOLLAND SHIELDS MD

Original Issue Date

12/31/2013

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023