MATTHEW B SHANNON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029430

License Status

EXPIRED

Business

First Name

MATTHEW B

Last Name

SHANNON

Suffix

Business Name

MATTHEW B SHANNON MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006