JACOB HOLLAND SHIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

HOLLAND

Last Name

SHIELDS

Business Name

JACOB HOLLAND SHIELDS MD

Original Issue Date

05/21/2014

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020