JEFFREY ZHANG SHIJE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

ZHANG

Last Name

SHIJE

Business Name

JEFFREY ZHANG SHIJE MD

Original Issue Date

04/13/2016

Effective Date

04/13/2016

Expiration Date

07/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017