SUSAN M SHEPHERD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024459

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

SHEPHERD

Business Name

SUSAN M SHEPHERD

Original Issue Date

07/18/1989

Effective Date

07/18/1989

Expiration Date

07/12/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006