MICHAEL SHANNON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046723

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

SHANNON

Suffix

Business Name

MICHAEL SHANNON MD

Original Issue Date

12/13/1972

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/05/2020