SHANNON XIANGYANG SHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

XIANGYANG

Last Name

SHI

Suffix

Business Name

SHANNON XIANGYANG SHI MD

Original Issue Date

07/08/2004

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020