JOHN R SHEPHERD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

SHEPHERD

Business Name

JOHN R SHEPHERD

Original Issue Date

03/31/1997

Effective Date

03/26/2009

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62259

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020