JOHN MARK SHEPPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054249

License Status

NOT RENEWED

Business

First Name

JOHN MARK

Last Name

SHEPPARD

Suffix

Business Name

JOHN MARK SHEPPARD MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006