SHANNON KATHLEEN SPARROW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072384

License Status

CANCELLED

Business

Title

First Name

SHANNON

Middle

KATHLEEN

Last Name

SPARROW

Business Name

SHANNON KATHLEEN SPARROW MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/07/2019