BENJAMIN ISAAC SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ISAAC

Last Name

SHEPHERD

Suffix

Business Name

BENJAMIN ISAAC SHEPHERD MD

Original Issue Date

07/21/2011

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023