SHANNON S CARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084455

License Status

NOT RENEWED

Business

First Name

SHANNON S

Last Name

CARSON

Suffix

Business Name

SHANNON S CARSON MD

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006