JESSICA A SHEPHERD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129149

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

Last Name

SHEPHERD

Business Name

JESSICA A SHEPHERD MD

Original Issue Date

10/26/2011

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021