JULIE ANNE SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

JULIE

Middle

ANNE

Last Name

SHEPHERD

Business Name

JULIE ANNE SHEPHERD MD

Original Issue Date

05/07/2021

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023