SARA JANE SHIPPEE WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142690

License Status

ACTIVE

Business

Title

First Name

SARA

Middle

JANE SHIPPEE

Last Name

WALLACE

Business Name

SARA JANE SHIPPEE WALLACE MD

Original Issue Date

03/15/2017

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

Ever Disciplined

LastModifiedDate

10/19/2023