DANIEL HERSCHEL SHIBA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

HERSCHEL

Last Name

SHIBA

Business Name

DANIEL HERSCHEL SHIBA MD

Original Issue Date

07/20/2011

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023