SHANNON MICHELLE DAVIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

MICHELLE

Last Name

DAVIS

Business Name

SHANNON MICHELLE DAVIS DO

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023