STARANE ANTHONY SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

STARANE

Middle

ANTHONY

Last Name

SHEPHERD

Business Name

STARANE ANTHONY SHEPHERD MD

Original Issue Date

02/15/2017

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023