SHANNON KATHLEEN HEXTRUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145885

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

KATHLEEN

Last Name

HEXTRUM

Business Name

SHANNON KATHLEEN HEXTRUM MD

Original Issue Date

04/30/2018

Effective Date

04/25/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2025