SHANNON EILEEN STALEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131188

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

EILEEN

Last Name

STALEY

Business Name

SHANNON EILEEN STALEY MD

Original Issue Date

08/17/2012

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2023