JULIE ANNE SHEPHERD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073191

License Status

CANCELLED

Business

Title

First Name

JULIE

Middle

ANNE

Last Name

SHEPHERD

Business Name

JULIE ANNE SHEPHERD MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2018