SHANNON CHRISTINE BROUGHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161065

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

CHRISTINE

Last Name

BROUGHER

Business Name

SHANNON CHRISTINE BROUGHER MD

Original Issue Date

06/27/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

ADAMS

Ever Disciplined

LastModifiedDate

07/07/2023