SHAWN CHRISTOPHER RADFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

SHAWN

Middle

CHRISTOPHER

Last Name

RADFORD

Business Name

SHAWN CHRISTOPHER RADFORD MD

Original Issue Date

08/11/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021