MARY ANN SHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

ANN

Last Name

SHANNON

Business Name

MARY ANN SHANNON MD

Original Issue Date

06/06/2012

Effective Date

06/06/2012

Expiration Date

07/31/2014

City

LAS VEGAS

State

Zip

89106

County

NEVADA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020