PATRICIA ROXANN SHIPLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

PATRICIA ROXANN

Last Name

SHIPLEY

Business Name

PATRICIA ROXANN SHIPLEY

Original Issue Date

10/29/1997

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023