ROBIN BETH SHEPARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053872

License Status

EXPIRED

Business

First Name

ROBIN

Middle

BETH

Last Name

SHEPARD

Suffix

Business Name

ROBIN BETH SHEPARD MD

Original Issue Date

10/11/2007

Effective Date

10/11/2007

Expiration Date

10/10/2009

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/14/2009