EMILY ANNE SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

EMILY

Middle

ANNE

Last Name

SHEPHERD

Business Name

EMILY ANNE SHEPHERD MD

Original Issue Date

06/01/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023