JOHN R SHEPHERD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032292

License Status

EXPIRED

Business

First Name

JOHN R

Last Name

SHEPHERD

Business Name

JOHN R SHEPHERD

Original Issue Date

08/01/1994

Effective Date

08/01/1994

Expiration Date

07/31/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006