SHANNON MARIE PHILIPPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

MARIE

Last Name

PHILIPPS

Business Name

SHANNON MARIE PHILIPPS DO

Original Issue Date

03/16/2023

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023