ALAN G SHEPARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

ALAN G

Last Name

SHEPARD

Suffix

Business Name

ALAN G SHEPARD MD

Original Issue Date

07/30/1993

Effective Date

07/30/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020