HILLARY SHANE MOWBRAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

HILLARY

Middle

SHANE

Last Name

MOWBRAY

Business Name

HILLARY SHANE MOWBRAY MD

Original Issue Date

09/22/2015

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60085

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021