ALAN G SHEPARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022446

License Status

EXPIRED

Business

First Name

ALAN G

Last Name

SHEPARD

Suffix

Business Name

ALAN G SHEPARD MD

Original Issue Date

05/17/1988

Effective Date

05/17/1988

Expiration Date

06/22/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006