KIRK VAN SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062611

License Status

NOT RENEWED

Business

First Name

KIRK VAN

Last Name

SHEPARD

Suffix

Business Name

KIRK VAN SHEPARD MD

Original Issue Date

07/27/1981

Effective Date

07/27/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006