ANGELA MARIE SHARKEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

ANGELA MARIE

Last Name

SHARKEY

Suffix

Business Name

ANGELA MARIE SHARKEY MD

Original Issue Date

01/19/2005

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011