SHANNON MICHELE JENNINGS 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

SHANNON

Middle

MICHELE

Last Name

JENNINGS

Suffix

Business Name

SHANNON MICHELE JENNINGS MD

Original Issue Date

08/19/2008

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023