SHANNON MARIE POWERS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066443

License Status

CANCELLED

Business

Title

First Name

SHANNON

Middle

MARIE

Last Name

POWERS

Business Name

SHANNON MARIE POWERS DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/27/2015