SHAWN A SHIANNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

SHAWN A

Last Name

SHIANNA

Suffix

Business Name

SHAWN A SHIANNA MD

Original Issue Date

03/14/1989

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023