SHANE GARDNER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174202

License Status

ACTIVE

Business

Title

First Name

SHANE

Last Name

GARDNER

Business Name

SHANE GARDNER DO

Original Issue Date

03/17/2025

Effective Date

03/17/2025

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2025