LARRY ROLAND SHANNON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048532

License Status

EXPIRED

Business

First Name

LARRY

Middle

ROLAND

Last Name

SHANNON

Suffix

Business Name

LARRY ROLAND SHANNON MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/08/2010