SHANNON K NOURBASH 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

First Name

SHANNON

Middle

Last Name

NOURBASH

Suffix

Business Name

SHANNON K NOURBASH MD

Original Issue Date

02/28/2001

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023