BENJAMIN ISAAC SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128592

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ISAAC

Last Name

SHEPHERD

Suffix

Business Name

BENJAMIN ISAAC SHEPHERD MD

Original Issue Date

07/21/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

04/07/2023