KIRK VAN SHEPARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151294

License Status

ACTIVE

Business

Title

First Name

KIRK

Middle

VAN

Last Name

SHEPARD

Business Name

KIRK VAN SHEPARD MD

Original Issue Date

12/02/2019

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

LAKE

Ever Disciplined

LastModifiedDate

05/25/2023