SHELLEY FIRESTONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

SHELLEY

Last Name

FIRESTONE

Suffix

Business Name

SHELLEY FIRESTONE MD

Original Issue Date

08/02/1983

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023