KIRK VAN SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

KIRK VAN

Last Name

SHEPARD

Suffix

Business Name

KIRK VAN SHEPARD MD

Original Issue Date

08/07/1981

Effective Date

08/07/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006