SHANNON KATHLEEN SPARROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

SHANNON

Middle

KATHLEEN

Last Name

SPARROW

Business Name

SHANNON KATHLEEN SPARROW MD

Original Issue Date

09/24/2020

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023