TODD JOSEPH SHEPPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109043

License Status

NOT RENEWED

Business

First Name

TODD

Middle

JOSEPH

Last Name

SHEPPARD

Suffix

Business Name

TODD JOSEPH SHEPPARD MD

Original Issue Date

04/17/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008