MICHAEL DUANE SHEPHERD 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

First Name

MICHAEL DUANE

Last Name

SHEPHERD

Suffix

Business Name

MICHAEL DUANE SHEPHERD MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1984

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006