JEFFREY GLENN SHANES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

GLENN

Last Name

SHANES

Business Name

JEFFREY GLENN SHANES MD

Original Issue Date

08/11/1982

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023