KYLE P SHEPPERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

SHEPPERSON

Suffix

Business Name

KYLE P SHEPPERSON MD

Original Issue Date

05/02/2003

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023