DAVID LEE SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

LEE

Last Name

SHEPARD

Business Name

DAVID LEE SHEPARD MD

Original Issue Date

05/07/2020

Effective Date

05/07/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023