DANIELLE MARGARET SHEPHERD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072548

License Status

CANCELLED

Business

Title

First Name

DANIELLE

Middle

MARGARET

Last Name

SHEPHERD

Business Name

DANIELLE MARGARET SHEPHERD MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/13/2018