SHAWN M KING Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SHAWN M

Last Name

KING

Business Name

SHAWN M KING

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006