RICHARD J SHIMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

SHIMP

Business Name

RICHARD J SHIMP MD

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017