TIERNEY SHANNON GROSSKOPF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

TIERNEY

Middle

SHANNON

Last Name

GROSSKOPF

Business Name

TIERNEY SHANNON GROSSKOPF MD

Original Issue Date

04/04/2024

Effective Date

04/04/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026