MICHAEL SHANE MCGUIRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

SHANE

Last Name

MCGUIRE

Suffix

Business Name

MICHAEL SHANE MCGUIRE MD

Original Issue Date

03/26/1998

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023