SHIRLEY Y HIGGINBOTHAM 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

First Name

SHIRLEY

Middle

Last Name

HIGGINBOTHAM

Suffix

Business Name

SHIRLEY Y HIGGINBOTHAM MD

Original Issue Date

08/07/2000

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023