DAVID P SHERIDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

SHERIDAN

Business Name

DAVID P SHERIDAN MD

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

07/31/1993

City

DU QUOIN

State

Zip

62832

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006