SHANNON KATHLEEN MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127543

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

KATHLEEN

Last Name

MARTIN

Business Name

SHANNON KATHLEEN MARTIN MD

Original Issue Date

04/12/2011

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023