SARA JANE SHIPPEE WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

SARA

Middle

JANE SHIPPEE

Last Name

WALLACE

Business Name

SARA JANE SHIPPEE WALLACE MD

Original Issue Date

03/15/2017

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023