PAMELA J MCSHANE 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

PAMELA

Middle

Last Name

MCSHANE

Business Name

PAMELA J MCSHANE

Original Issue Date

07/19/2007

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PALOS PARK

State

Zip

60464

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021