SHAWN E BAILEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

SHAWN E

Last Name

BAILEY

Business Name

SHAWN E BAILEY

Original Issue Date

07/24/1990

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023