KATHLEEN M SHANNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

KATHLEEN M

Last Name

SHANNON

Suffix

Business Name

KATHLEEN M SHANNON MD

Original Issue Date

06/15/1983

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53705

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023