SHANNON MARIE PRICE DO 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

SHANNON

Middle

MARIE

Last Name

PRICE

Business Name

SHANNON MARIE PRICE DO

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

07/31/2014

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014