SHAUN MICHAEL DEESE 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

First Name

SHAUN

Middle

MICHAEL

Last Name

DEESE

Suffix

Business Name

SHAUN MICHAEL DEESE MD

Original Issue Date

04/12/2016

Effective Date

04/12/2016

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017