THOMAS G SHANAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

THOMAS G

Last Name

SHANAHAN

Suffix

Business Name

THOMAS G SHANAHAN MD

Original Issue Date

06/07/1990

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014