EMILY ANNE SHEPHERD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

EMILY

Middle

ANNE

Last Name

SHEPHERD

Business Name

EMILY ANNE SHEPHERD MD

Original Issue Date

05/13/2022

Effective Date

05/13/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023