MICHAEL SHANNON MD 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

MICHAEL

Last Name

SHANNON

Suffix

Business Name

MICHAEL SHANNON MD

Original Issue Date

01/07/1988

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021