ALLAN HENDLEY SHIPPEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

HENDLEY

Last Name

SHIPPEL

Suffix

Business Name

ALLAN HENDLEY SHIPPEL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

CHAMPAIGN

State

Zip

61820

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006