SHAWN P HENNIGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

SHAWN P

Last Name

HENNIGAN

Business Name

SHAWN P HENNIGAN

Original Issue Date

03/15/1999

Effective Date

03/15/1999

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006