MATTHEW B SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091205

License Status

NOT RENEWED

Business

First Name

MATTHEW B

Last Name

SHANNON

Suffix

Business Name

MATTHEW B SHANNON MD

Original Issue Date

07/08/1995

Effective Date

07/08/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/10/2012