SPENCER DANIEL SHEPHERD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070044

License Status

EXPIRED

Business

Title

First Name

SPENCER

Middle

DANIEL

Last Name

SHEPHERD

Business Name

SPENCER DANIEL SHEPHERD MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022