MICHAEL SHANE MCGUIRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SHANE

Last Name

MCGUIRE

Suffix

Business Name

MICHAEL SHANE MCGUIRE MD

Original Issue Date

04/08/1996

Effective Date

04/08/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020