WYNN SHEADE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

WYNN

Last Name

SHEADE

Suffix

Business Name

WYNN SHEADE MD

Original Issue Date

07/26/2006

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023