JONATHAN JOEL SHEPHERD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119358

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

JOEL

Last Name

SHEPHERD

Suffix

Business Name

JONATHAN JOEL SHEPHERD MD

Original Issue Date

09/06/2007

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011