DANE JEFFREY SHEPHERD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056894

License Status

ACTIVE

Business

First Name

DANE JEFFREY

Last Name

SHEPHERD

Suffix

Business Name

DANE JEFFREY SHEPHERD DO

Original Issue Date

06/28/1978

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023