THOMAS D SHIPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

THOMAS D

Last Name

SHIPP

Suffix

Business Name

THOMAS D SHIPP MD

Original Issue Date

07/20/1992

Effective Date

07/20/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020