SHANNON MARIE EWING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

SHANNON

Middle

MARIE

Last Name

EWING

Suffix

Business Name

SHANNON MARIE EWING MD

Original Issue Date

05/11/2001

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023