MEGAN BRADY SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

MEGAN

Middle

BRADY

Last Name

SHANNON

Business Name

MEGAN BRADY SHANNON MD

Original Issue Date

04/06/2015

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021