SHANNA LAUREN WHITE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068449

License Status

EXPIRED

Business

Title

First Name

SHANNA

Middle

LAUREN

Last Name

WHITE

Business Name

SHANNA LAUREN WHITE MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019