SHEPPARD GORDON KELLAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038812

License Status

INACTIVE

Business

First Name

SHEPPARD GORDON

Last Name

KELLAM

Suffix

Business Name

SHEPPARD GORDON KELLAM MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006