MARY E SHEPHERD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

SHEPHERD

Suffix

Business Name

MARY E SHEPHERD MD

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

07/31/2005

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011