EMILY ANNE SHEPHERD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073011

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

ANNE

Last Name

SHEPHERD

Business Name

EMILY ANNE SHEPHERD MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/12/2021