SHELLY ANN MANN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

SHELLY

Middle

ANN

Last Name

MANN

Business Name

SHELLY ANN MANN

Original Issue Date

03/19/2002

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023