JOHN SHOCKEY EBERSOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

SHOCKEY

Last Name

EBERSOLE

Suffix

Business Name

JOHN SHOCKEY EBERSOLE MD

Original Issue Date

02/09/2000

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014