SHANNON K FIELDS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****49

NOT RENEWED

N

SHANNON

K

FIELDS

MD

SHANNON K FIELDS MD

08/09/1999

08/09/1999

07/31/2002

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006