MARK CHRISTOPHER SHIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MARK CHRISTOPHER

Last Name

SHIELDS

Suffix

Business Name

MARK CHRISTOPHER SHIELDS MD

Original Issue Date

06/10/2002

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020